Clinic
Main Street Dental of Kenyon PA
Main Street Dental of Kenyon PA was paid $2.05M by Medicaid between Jan 2019 and Dec 2024, across 22 billing codes. Its largest line is D2722, — 45% of everything it billed.
33Billing provider infoMAIN STREET DENTAL OF KENYON PA
KENYON, MN 55946
KENYON, MN 55946
33aNPI1700136116assigned 09/12/2012
33bProvider typeDental Clinic/Center
28Total paid$2.05M
24GClaims30,697
24DCodes billed22
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#24 of 148
Median peer was paid$70K
This provider vs. median29×
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 | 2,004 | $37K | |
| 2020 | 1,853 | $34K | |
| 2021 | 3,104 | $62K | |
| 2022 | 4,532 | $139K | |
| 2023 | 8,046 | $318K | |
| 2024incomplete | 11,158 | $1.46M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2722 | 45% | 854 | 474 | $918K | |
| D2950 | 10% | 1,080 | 653 | $209K | |
| D0230 | Intraoral - periapical each additional radiographic image | 7.5% | 12,233 | 3,992 | $154K |
| D1110 | Prophylaxis - adult | 6.5% | 2,082 | 2,072 | $133K |
| D1206 | Topical application of fluoride varnish | 3.9% | 2,490 | 2,476 | $81K |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 4,584 | 4,286 | $80K |
| D0330 | Panoramic radiographic image | 3.7% | 799 | 799 | $77K |
| D0274 | Bitewings - four radiographic images | 3.5% | 1,669 | 1,665 | $73K |
| D5226 | 2.8% | 41 | 40 | $58K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.8% | 1,764 | 1,751 | $57K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 924 | 924 | $46K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 1.9% | 54 | 52 | $38K |
10 more codes
| D1330 | 1.4% | 750 | $29K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.3% | 171 | $27K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 602 | $26K |
| D2332 | <1% | 87 | $13K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 110 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 79 | $9K |
| D1120 | Dental cleaning, child | <1% | 134 | $5K |
| D1351 | Sealant - per tooth | <1% | 111 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 23 | $3K |
| D9985 | 0% | 56 | $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 officialVU, DUY (DENTIST)