Miso Dentistry, PC

Miso Dentistry, PC was paid $8.36M by Medicaid between Aug 2019 and Jan 2022, across 44 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 26% of everything it billed.

33Billing provider infoMISO DENTISTRY, PC
MAPLE GROVE, MN 55369

33aNPI1629538988assigned 03/22/2019

33bProvider typeDentist

28Total paid$8.36M

24GClaims139,140

24DCodes billed44

24AFirst – last monthAug 2019 – Jan 2022

Compared with peers

Next to other Dentist providers in Minnesota

Rank by total paid#3 of 192

Median peer was paid$9K

This provider vs. median913×

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
2019	27,168	$1.02M
2020	52,232	$3.36M
2021	58,523	$3.92M
2022	1,217	$60K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D8670	Periodic orthodontic treatment visit	26%	14,170	14,130	$2.18M
D8080	Comprehensive orthodontic treatment of the adolescent dentition	17%	1,322	1,208	$1.39M
D1110	Prophylaxis - adult	5.8%	12,702	12,078	$489K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	5.1%	17,995	17,109	$430K
D2722		4.1%	716	328	$340K
D1206	Topical application of fluoride varnish	3.7%	16,171	15,354	$309K
D0330	Panoramic radiographic image	3.6%	5,709	5,436	$300K
D5226		3.4%	359	342	$281K
D1351	Sealant - per tooth	3.2%	13,719	2,120	$268K
D0274	Bitewings - four radiographic images	3.1%	9,465	8,970	$260K
D0340		2.6%	3,245	2,991	$216K
D5225		2.5%	257	252	$210K

32 more codes

D0350		2.3%	3,839	$193K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2.2%	3,087	$181K
D1120	Dental cleaning, child	1.7%	5,478	$143K
D7140	Extraction, erupted tooth or exposed root	1.6%	2,107	$130K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.2%	2,495	$99K
D2150	Silver amalgam - two surfaces, primary or permanent	1.2%	1,643	$98K
D0220	Intraoral - periapical first radiographic image	<1%	6,864	$78K
D2335		<1%	870	$71K
D0140	Limited oral evaluation - problem focused	<1%	2,231	$62K
D7111		<1%	1,001	$60K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	<1%	819	$57K
D2331		<1%	808	$55K
D2330		<1%	1,070	$51K
D2160		<1%	683	$50K
D3320		<1%	172	$46K
D0272	Bitewings - two radiographic images	<1%	2,070	$45K
D2140		<1%	1,149	$44K
D2332		<1%	515	$44K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	<1%	324	$29K
D0230	Intraoral - periapical each additional radiographic image	<1%	3,073	$26K
D8660		<1%	2,177	$23K
D3330	Endodontic therapy, molar tooth (excluding final restoration)	<1%	78	$21K
D8703		<1%	59	$17K
D8704		<1%	55	$16K
D7250		<1%	153	$16K
D3310		<1%	76	$14K
D2161		<1%	75	$7K
D4355		<1%	139	$5K
T1013	Sign language or oral interpretive services, per 15 minutes	<1%	117	$3K
D2394		<1%	35	$2K
D3240		<1%	28	$1K
D0145	Oral evaluation for a patient under three years of age	<1%	20	$785.80

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 officialLEE, HYEOK (PRESIDENT)