Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MN › Minneapolis › NPI 1700932449
Dental

Group Health Plan INC

Group Health Plan INC was paid $471K by Medicaid between Jan 2018 and May 2020, across 23 billing codes. Its largest line is D0330, Panoramic radiographic image — 13% of everything it billed.

33Billing provider infoGROUP HEALTH PLAN INC
MINNEAPOLIS, MN 55454
33aNPI1700932449assigned 01/26/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$471K
24GClaims14,761
24DCodes billed23
24AFirst – last monthJan 2018 – May 2020
Compared with peers

Next to other General Practice Dentistry providers in Minnesota

Rank by total paid#78 of 368
Median peer was paid$19K
This provider vs. median25×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official COONEY, KATHLEEN controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20185,458$52K
20197,593$346K
20201,710$73K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0330 Panoramic radiographic image 13% 1,185 1,179 $63K
D1110 Prophylaxis - adult 12% 1,448 1,436 $58K
D1206 Topical application of fluoride varnish 9.3% 2,008 1,998 $44K
D2150 Silver amalgam - two surfaces, primary or permanent 8.6% 663 429 $41K
D0140 Limited oral evaluation - problem focused 8.5% 1,495 1,430 $40K
D0274 Bitewings - four radiographic images 8.4% 1,499 1,489 $40K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 7.8% 1,543 1,535 $37K
D7140 Extraction, erupted tooth or exposed root 7.2% 455 292 $34K
D0150 Comprehensive oral evaluation - new or established patient 6.4% 1,122 1,118 $30K
D1120 Dental cleaning, childProphylaxis - child 5.6% 927 925 $26K
D0272 Bitewings - two radiographic images 3.1% 595 593 $14K
D0220 Intraoral - periapical first radiographic image 2.4% 1,051 1,018 $11K
11 more codes
D2140 1.8% 232 $9K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1.7% 130 $8K
T1013 Sign language or oral interpretive services, per 15 minutes 1.4% 161 $7K
D2160 <1% 41 $4K
D4355 <1% 42 $2K
D1351 Sealant - per tooth <1% 48 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 16 $928.59
D0270 <1% 53 $401.61
D0230 Intraoral - periapical each additional radiographic image <1% 15 $143.25
D2331 <1% 16 $107.34
D9995 0% 16 $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 officialCOONEY, KATHLEEN (CAO)
Same official

Other billing entities under COONEY, KATHLEEN

Full network →
ProviderLocationPaid
Group Health Plan INCSaint Paul, MN$3.14M
Group Health Plan INCSaint Paul, MN$1.78M
Group Health Plan INCMaplewood, MN$1.64M
Group Health Plan INCSaint Paul, MN$1.57M
Group Health Plan INCBrooklyn Center, MN$1.54M
Group Health PlanApple Valley, MN$1.35M
Group Health Plan INCBloomington, MN$1.29M
Group Health Plan INCCoon Rapids, MN$1.17M
Group Health Plan INCWoodbury, MN$938K
Group Health Plan INCWhite Bear Lake, MN$739K
Group Health Plan INCBlaine, MN$630K
Group Health Plan INCInver Grove, MN$621K
Group Health PlanArden Hills, MN$555K
Group Health Plan INCSt Louis Park, MN$530K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.