Grandgenett, Roger

Grandgenett, Roger was paid $9K by Medicaid between Jan 2018 and Oct 2019, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 48% of everything it billed.

33Billing provider infoGRANDGENETT, ROGER
BLUE EARTH, MN 56013

33aNPI1659395580assigned 07/26/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$9K

24GClaims348

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2019

Compared with peers

Next to other General Practice Dentistry providers in Minnesota

Rank by total paid#215 of 368

Median peer was paid$19K

This provider vs. median0.5×

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	28	$0.00
2019	320	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	48%	213	212	$4K
D1110	Prophylaxis - adult	41%	94	94	$4K
D1120	Dental cleaning, childProphylaxis - child	7.2%	25	25	$663.75
D1206	Topical application of fluoride varnish	3.4%	16	16	$315.36

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.