Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

The Dental Emergency Room, LLC

The Dental Emergency Room, LLC was paid $1.88M by Medicaid between Mar 2018 and Dec 2024, across 31 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 26% of everything it billed.

33Billing provider infoTHE DENTAL EMERGENCY ROOM, LLC
EDINA, MN 55435
33aNPI1710215843assigned 12/01/2009
33bProvider typeDental Clinic/Center
28Total paid$1.88M
24GClaims38,343
24DCodes billed31
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers

Next to other Dental Clinic/Center providers in Minnesota

Rank by total paid#25 of 148
Median peer was paid$70K
This provider vs. median27×

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

$0$50K$100K2018201920202021202220232024
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
20181,558$7K
20193,771$142K
20205,860$232K
202111,675$455K
20229,908$505K
20232,213$119K
2024incomplete3,358$422K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 26% 4,684 2,148 $498K
D0330 Panoramic radiographic image 16% 5,668 5,608 $298K
D0140 Limited oral evaluation - problem focused 15% 8,862 8,075 $274K
D9243 8.4% 1,000 191 $158K
D0220 Intraoral - periapical first radiographic image 4.4% 6,623 5,978 $83K
D7140 Extraction, erupted tooth or exposed root 3.0% 828 523 $57K
D2140 3.0% 843 324 $56K
D7953 2.9% 132 40 $54K
D0364 2.5% 43 43 $47K
D2161 2.5% 378 217 $47K
D9239 2.3% 219 191 $43K
D2160 2.2% 406 245 $42K
19 more codes
D0230 Intraoral - periapical each additional radiographic image 2.2% 4,438 $41K
D0150 Comprehensive oral evaluation - new or established patient 2.1% 1,099 $40K
D0367 2.0% 48 $38K
D0274 Bitewings - four radiographic images 1.9% 1,098 $35K
D2150 Silver amalgam - two surfaces, primary or permanent 1.6% 314 $30K
D1206 Topical application of fluoride varnish <1% 325 $9K
D1110 Prophylaxis - adult <1% 170 $9K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 92 $6K
D0270 <1% 653 $5K
D2950 <1% 13 $2K
D0272 Bitewings - two radiographic images <1% 66 $2K
D0460 <1% 104 $2K
D1120 Dental cleaning, child <1% 37 $2K
D9110 <1% 35 $2K
D0120 Dental checkup, returning patient <1% 17 $663.41
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 25 $333.69
D0171 0% 19 $0.00
D9215 0% 90 $0.00
D9987 0% 14 $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 officialALKABBANI, BASHAR (CEO)