Lake County Dental LTD

Lake County Dental LTD was paid $55K by Medicaid between Jan 2019 and Oct 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 43% of everything it billed.

33Billing provider infoLAKE COUNTY DENTAL LTD
BRAINERD, MN 56401

33aNPI1558361667assigned 07/29/2005

33bProvider typeDentist

28Total paid$55K

24GClaims1,945

24DCodes billed6

24AFirst – last monthJan 2019 – Oct 2024

Compared with peers

Next to other Dentist providers in Minnesota

Rank by total paid#58 of 192

Median peer was paid$9K

This provider vs. median6.0×

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
2019	496	$12K
2020	373	$9K
2021	462	$12K
2022	353	$14K
2023	156	$5K
2024incomplete	105	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	43%	1,027	1,015	$24K
D1110	Prophylaxis - adult	41%	575	567	$22K
D0274	Bitewings - four radiographic images	11%	222	222	$6K
D1120	Dental cleaning, childProphylaxis - child	3.0%	78	78	$2K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1.4%	15	12	$789.15
D1206	Topical application of fluoride varnish	<1%	28	28	$427.18

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 officialMATTSON, JEFFREY (OWNER)