Dental
Affiliated Pediatric Dentists PA
Affiliated Pediatric Dentists PA was paid $67K by Medicaid between Jan 2018 and Dec 2023, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 47% of everything it billed.
33Billing provider infoAFFILIATED PEDIATRIC DENTISTS PA
BURNSVILLE, MN 55337
BURNSVILLE, MN 55337
33aNPI1548426422assigned 07/31/2008
33bProvider typePediatric Dentist
28Total paid$67K
24GClaims3,583
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Pediatric Dentist providers in Minnesota
Rank by total paid#26 of 49
Median peer was paid$94K
This provider vs. median0.7×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 590 | $12K | |
| 2019 | 607 | $13K | |
| 2020 | 782 | $12K | |
| 2021 | 716 | $12K | |
| 2022 | 609 | $12K | |
| 2023 | 279 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 47% | 1,187 | 1,164 | $31K |
| D1206 | Topical application of fluoride varnish | 33% | 1,137 | 1,114 | $22K |
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 514 | 507 | $13K |
| D1110 | Prophylaxis - adult | 1.3% | 26 | 26 | $877.72 |
| D1999 | <1% | 247 | 237 | $20.86 | |
| D9985 | 0% | 472 | 445 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGREENWOOD, MARK (TREASURER)
| Provider | Location | Paid |
|---|---|---|
| Affiliated Pediatric Dentists PA | Minnetonka, MN | $36K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.