Luna Land Dental Corp.

Luna Land Dental Corp. was paid $869K by Medicaid between Jun 2024 and Dec 2024, across 21 billing codes. Its largest line is D2991, — 72% of everything it billed.

33Billing provider infoLUNA LAND DENTAL CORP.
WEST ST PAUL, MN 55118

33aNPI1598523771assigned 03/12/2024

33bProvider typeDental Clinic/Center

28Total paid$869K

24GClaims12,665

24DCodes billed21

24AFirst – last monthJun 2024 – Dec 2024

Compared with peers

Next to other Dental Clinic/Center providers in Minnesota

Rank by total paid#38 of 148

Median peer was paid$70K

This provider vs. median12×

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
2024incomplete	12,665	$869K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2991		72%	5,596	572	$622K
D0330	Panoramic radiographic image	5.5%	551	547	$47K
D1110	Prophylaxis - adult	3.6%	526	462	$32K
D0274	Bitewings - four radiographic images	3.0%	589	586	$26K
D1330		2.5%	683	586	$22K
D1206	Topical application of fluoride varnish	2.4%	617	600	$21K
D0140	Limited oral evaluation - problem focused	2.3%	461	445	$20K
D0150	Comprehensive oral evaluation - new or established patient	2.0%	352	351	$17K
D0230	Intraoral - periapical each additional radiographic image	1.8%	1,196	708	$15K
D0220	Intraoral - periapical first radiographic image	1.7%	779	773	$15K
D0350		1.1%	642	571	$10K
D1351	Sealant - per tooth	<1%	195	44	$8K

9 more codes

D1120	Dental cleaning, child	<1%	121	$4K
D1354		<1%	100	$4K
D4355		<1%	43	$2K
D0272	Bitewings - two radiographic images	<1%	38	$2K
D0240		<1%	24	$1K
D1310		<1%	29	$828.44
D9110		<1%	12	$646.05
D0120	Dental checkup, returning patient	<1%	15	$558.58
D9996		0%	96	$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 officialPARK, MATTHEW (CFO)