Prairie Pines Dental, PLLC

Prairie Pines Dental, PLLC was paid $6K by Medicaid between Sep 2022 and May 2023, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 36% of everything it billed.

33Billing provider infoPRAIRIE PINES DENTAL, PLLC
FOSSTON, MN 56542

33aNPI1578291803assigned 08/14/2022

33bProvider typeDental Clinic/Center

28Total paid$6K

24GClaims197

24DCodes billed4

24AFirst – last monthSep 2022 – May 2023

Compared with peers

Next to other Dental Clinic/Center providers in Minnesota

Rank by total paid#107 of 148

Median peer was paid$70K

This provider vs. median0.1×

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
2022	65	$2K
2023	132	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	36%	76	76	$2K
D1110	Prophylaxis - adult	29%	39	39	$2K
D1206	Topical application of fluoride varnish	25%	69	69	$2K
D0274	Bitewings - four radiographic images	9.3%	13	13	$568.20

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 officialGOETSCH, KARISSA (OWNER DENTIST)