Clinic
Urgent Care Dental PLLC
Urgent Care Dental PLLC was paid $1.03M by Medicaid between Jun 2021 and Dec 2024, across 25 billing codes. Its largest line is D0330, Panoramic radiographic image — 15% of everything it billed.
33Billing provider infoURGENT CARE DENTAL PLLC
CRYSTAL, MN 55428
CRYSTAL, MN 55428
33aNPI1578158929assigned 03/08/2021
33bProvider typeDental Clinic/Center
28Total paid$1.03M
24GClaims25,270
24DCodes billed25
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#36 of 148
Median peer was paid$70K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2021 | 369 | $7K | |
| 2022 | 4,403 | $152K | |
| 2023 | 8,651 | $370K | |
| 2024incomplete | 11,847 | $505K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 15% | 2,160 | 2,119 | $152K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 2,793 | 2,747 | $121K |
| D1110 | Prophylaxis - adult | 10% | 1,811 | 1,780 | $107K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.7% | 1,092 | 651 | $100K |
| D0274 | Bitewings - four radiographic images | 8.3% | 2,255 | 2,206 | $86K |
| D1206 | Topical application of fluoride varnish | 6.0% | 2,041 | 2,010 | $62K |
| D0220 | Intraoral - periapical first radiographic image | 4.8% | 2,960 | 2,831 | $49K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.7% | 3,952 | 2,075 | $49K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.6% | 1,153 | 1,126 | $47K |
| D4341 | 4.4% | 220 | 86 | $45K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.1% | 1,211 | 1,173 | $42K |
| D0140 | Limited oral evaluation - problem focused | 3.9% | 995 | 956 | $40K |
13 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.6% | 237 | $27K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 313 | $23K |
| D1330 | 2.0% | 740 | $20K | |
| D0272 | Bitewings - two radiographic images | 1.7% | 461 | $17K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 98 | $10K |
| D1351 | Sealant - per tooth | <1% | 227 | $8K |
| D1354 | <1% | 264 | $8K | |
| D2740 | Crown - porcelain/ceramic | <1% | 14 | $6K |
| D4910 | <1% | 69 | $5K | |
| D2950 | <1% | 17 | $3K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 23 | $3K |
| D0270 | <1% | 149 | $2K | |
| D9986 | 0% | 15 | $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 officialFARAH, MUKTAR (CEO)