Seieroe, Mary

Seieroe, Mary was paid $13K by Medicaid between Jan 2018 and Feb 2020, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 62% of everything it billed.

33Billing provider infoSEIEROE, MARY
MINNEAPOLIS, MN 55404

33aNPI1598711921assigned 05/26/2006

33bProvider typeDentist

28Total paid$13K

24GClaims1,937

24DCodes billed11

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other Dentist providers in Minnesota

Rank by total paid#85 of 192

Median peer was paid$9K

This provider vs. median1.4×

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	1,730	$7K
2019	122	$4K
2020	85	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	62%	640	622	$8K
D1206	Topical application of fluoride varnish	24%	632	626	$3K
D0140	Limited oral evaluation - problem focused	6.3%	219	219	$823.21
D0145	Oral evaluation for a patient under three years of age	2.5%	79	79	$329.98
D0274	Bitewings - four radiographic images	1.8%	44	44	$238.65
D1120	Dental cleaning, childProphylaxis - child	1.7%	113	113	$226.73
D0220	Intraoral - periapical first radiographic image	<1%	55	54	$99.29
D0230	Intraoral - periapical each additional radiographic image	<1%	18	12	$91.11
D1330		<1%	61	61	$54.02
D4355		0%	34	32	$0.00
D2391	Resin-based composite - one surface, posterior, primary or permanent	0%	42	30	$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.