Dental
Maplewood Dental Associates PA
Maplewood Dental Associates PA was paid $39K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 58% of everything it billed.
33Billing provider infoMAPLEWOOD DENTAL ASSOCIATES PA
MAPLEWOOD, MN 55109
MAPLEWOOD, MN 55109
33aNPI1619065539assigned 10/10/2006
33bProvider typeDentist
28Total paid$39K
24GClaims1,441
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Dentist providers in Minnesota
Rank by total paid#68 of 192
Median peer was paid$9K
This provider vs. median4.2×
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 | 142 | $526.03 | |
| 2019 | 197 | $5K | |
| 2020 | 148 | $3K | |
| 2021 | 374 | $8K | |
| 2022 | 232 | $9K | |
| 2023 | 173 | $7K | |
| 2024incomplete | 175 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 58% | 606 | 591 | $23K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 525 | 515 | $10K |
| D1206 | Topical application of fluoride varnish | 13% | 223 | 211 | $5K |
| D0274 | Bitewings - four radiographic images | 4.0% | 75 | 75 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12 | 12 | $96.67 |
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 officialPROKOSCH, RICHARD (PRESIDENT)