FM Dental

FM Dental was paid $3K by Medicaid between Jun 2020 and Feb 2023, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 50% of everything it billed.

33Billing provider infoFM DENTAL
MAPLE GROVE, MN 55369

33aNPI1669648747assigned 05/07/2008

33bProvider typeDental Clinic/Center

28Total paid$3K

24GClaims136

24DCodes billed5

24AFirst – last monthJun 2020 – Feb 2023

Compared with peers

Next to other Dental Clinic/Center providers in Minnesota

Rank by total paid#119 of 148

Median peer was paid$70K

This provider vs. median0.0×

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
2020	55	$1K
2021	68	$1K
2023	13	$458.94

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	50%	60	60	$1K
D1110	Prophylaxis - adult	28%	24	24	$818.16
D0220	Intraoral - periapical first radiographic image	11%	27	27	$316.81
D1206	Topical application of fluoride varnish	7.4%	12	12	$215.76
D0230	Intraoral - periapical each additional radiographic image	4.1%	13	13	$119.08

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 officialFRANCIS, RYAN (DENTIST/BUSINESS CO-OWNER)