Clinic
Noble Dental PLLC
Noble Dental PLLC was paid $35K by Medicaid between Jun 2022 and Sep 2024, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 38% of everything it billed.
33Billing provider infoNOBLE DENTAL PLLC
DULUTH, MN 55806
DULUTH, MN 55806
33aNPI1588097885assigned 08/10/2013
33bProvider typeDental Clinic/Center
28Total paid$35K
24GClaims737
24DCodes billed7
24AFirst – last monthJun 2022 – Sep 2024
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#83 of 148
Median peer was paid$70K
This provider vs. median0.5×
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 | 24 | $903.72 | |
| 2023 | 284 | $12K | |
| 2024incomplete | 429 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 38% | 197 | 197 | $13K |
| D0274 | Bitewings - four radiographic images | 20% | 144 | 144 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 177 | 177 | $6K |
| D0140 | Limited oral evaluation - problem focused | 11% | 90 | 88 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.6% | 51 | 51 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 3.1% | 66 | 66 | $1K |
| D1206 | Topical application of fluoride varnish | 1.3% | 12 | 12 | $447.00 |
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 officialNOBLE, JACOB (MANAGER)