Dental
Group Health Plan, INC
Group Health Plan, INC was paid $648K by Medicaid between Jan 2018 and Oct 2024, across 20 billing codes. Its largest line is D1110, Prophylaxis - adult — 17% of everything it billed.
33Billing provider infoGROUP HEALTH PLAN, INC
PLYMOUTH, MN 55446
PLYMOUTH, MN 55446
33aNPI1558764597assigned 10/06/2014
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$648K
24GClaims17,923
24DCodes billed20
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Minnesota
Rank by total paid#30 of 69
Median peer was paid$252K
This provider vs. median2.6×
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 | 2,921 | $19K | |
| 2019 | 5,552 | $245K | |
| 2020 | 2,711 | $96K | |
| 2021 | 3,351 | $146K | |
| 2022 | 2,051 | $86K | |
| 2023 | 879 | $36K | |
| 2024incomplete | 458 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 17% | 2,198 | 2,185 | $110K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 3,010 | 2,989 | $99K |
| D1206 | Topical application of fluoride varnish | 10% | 2,566 | 2,554 | $67K |
| D0274 | Bitewings - four radiographic images | 10% | 1,829 | 1,820 | $65K |
| D0330 | Panoramic radiographic image | 9.4% | 993 | 989 | $61K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.4% | 1,504 | 1,496 | $48K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.8% | 425 | 272 | $38K |
| D0140 | Limited oral evaluation - problem focused | 5.0% | 984 | 954 | $32K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.9% | 1,067 | 1,063 | $32K |
| D0272 | Bitewings - two radiographic images | 3.8% | 832 | 830 | $25K |
| D7140 | Extraction, erupted tooth or exposed root | 3.2% | 240 | 137 | $21K |
| D1351 | Sealant - per tooth | 3.1% | 633 | 198 | $20K |
8 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 171 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 793 | $10K |
| D0160 | <1% | 36 | $2K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 20 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 101 | $2K |
| D2140 | <1% | 15 | $1K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 66 | $996.34 |
| D1999 | 0% | 440 | $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 officialGESKO, DAVID (SENIOR VP/DENTAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Group Health Plan, INC | Bloomington, MN | $4.17M |
| Group Health Plan, INC | Sartell, MN | $2.08M |
| Group Health Plan, INC | Anoka, MN | $870K |
| Group Health Plan, INC | Eden Prairie, MN | $706K |
| Group Health Plan, INC. | Lake Elmo, MN | $302K |
| Group Health Plan, INC | Stillwater, MN | $218K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.