Dental
Lakes Dental Care PLC
Lakes Dental Care PLC was paid $429.96 by Medicaid between Jan 2018 and Feb 2021, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 54% of everything it billed.
33Billing provider infoLAKES DENTAL CARE PLC
PEQUOT LAKES, MN 56472
PEQUOT LAKES, MN 56472
33aNPI1578682050assigned 03/28/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$429.96
24GClaims61
24DCodes billed2
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#317 of 368
Median peer was paid$19K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2018 | 37 | $0.00 | |
| 2021 | 24 | $429.96 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 54% | 37 | 37 | $232.80 |
| D1206 | Topical application of fluoride varnish | 46% | 24 | 24 | $197.16 |
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 officialOLSON, JEFFREY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Family Dental Care | Rapid City, SD | $174K |
| Lakes Dental Care PLC | Baxter, MN | $30K |
| Montross Pharmacy INC | Winterset, IA | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.