Madison-Nelson Family Dentistry

Madison-Nelson Family Dentistry was paid $64K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 50% of everything it billed.

33Billing provider infoMADISON-NELSON FAMILY DENTISTRY
DULUTH, MN 55802

33aNPI1619064557assigned 10/10/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$64K

24GClaims2,586

24DCodes billed6

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in Minnesota

Rank by total paid#131 of 368

Median peer was paid$19K

This provider vs. median3.3×

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	429	$479.07
2019	403	$12K
2020	447	$7K
2021	500	$13K
2022	382	$15K
2023	238	$10K
2024incomplete	187	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	50%	808	801	$32K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	42%	1,248	1,237	$27K
D0274	Bitewings - four radiographic images	3.8%	75	75	$2K
D1206	Topical application of fluoride varnish	3.1%	136	136	$2K
D1120	Dental cleaning, childProphylaxis - child	1.1%	52	52	$716.85
D1999		0%	267	233	$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 officialMADISON, GARY (DENTIST)