Madison Dental Clinic PLLC

Madison Dental Clinic PLLC was paid $11K by Medicaid between Dec 2023 and Dec 2024, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 48% of everything it billed.

33Billing provider infoMADISON DENTAL CLINIC PLLC
MADISON, MN 56256

33aNPI1568238509assigned 11/30/2023

33bProvider typeDental Clinic/Center

28Total paid$11K

24GClaims294

24DCodes billed3

24AFirst – last monthDec 2023 – Dec 2024

Compared with peers

Next to other Dental Clinic/Center providers in Minnesota

Rank by total paid#102 of 148

Median peer was paid$70K

This provider vs. median0.2×

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
2023	36	$1K
2024incomplete	258	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	48%	152	152	$5K
D1110	Prophylaxis - adult	35%	72	72	$4K
D1206	Topical application of fluoride varnish	17%	70	70	$2K

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 officialSTONE, ARIEL (OFFICE MANAGER)