Dental
Family & Cosmetic Gentle Dentistry, LTD
Family & Cosmetic Gentle Dentistry, LTD was paid $947K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is D1110, Prophylaxis - adult — 20% of everything it billed.
33Billing provider infoFAMILY & COSMETIC GENTLE DENTISTRY, LTD
COTTAGE GROVE, MN 55016
COTTAGE GROVE, MN 55016
33aNPI1548442411assigned 12/03/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$947K
24GClaims23,048
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#60 of 368
Median peer was paid$19K
This provider vs. median50×
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 | 2,998 | $16K | |
| 2019 | 2,657 | $112K | |
| 2020 | 2,308 | $91K | |
| 2021 | 3,373 | $139K | |
| 2022 | 3,868 | $197K | |
| 2023 | 4,460 | $228K | |
| 2024incomplete | 3,384 | $165K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 20% | 3,469 | 3,451 | $192K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 3,444 | 3,432 | $116K |
| D1206 | Topical application of fluoride varnish | 12% | 3,704 | 3,679 | $109K |
| D0274 | Bitewings - four radiographic images | 11% | 2,512 | 2,494 | $100K |
| D0330 | Panoramic radiographic image | 9.4% | 1,236 | 1,226 | $89K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.3% | 690 | 356 | $59K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 1,351 | 1,341 | $52K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.5% | 1,363 | 1,362 | $52K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.1% | 628 | 395 | $48K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.8% | 589 | 332 | $36K |
| D0140 | Limited oral evaluation - problem focused | 3.6% | 941 | 923 | $34K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 1,605 | 1,556 | $24K |
7 more codes
| D1330 | 1.2% | 416 | $11K | |
| D0272 | Bitewings - two radiographic images | 1.1% | 299 | $10K |
| D2140 | <1% | 213 | $4K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 342 | $4K |
| D2330 | <1% | 31 | $3K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 14 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 201 | $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 officialBEDNAR, DIANA (OPERATIONS MANAGER)
Parent organizationFAMILY & COSMETIC GENTLE DENTISTRY, LTD