Clinic
Lake Valley Dental PLLC
Lake Valley Dental PLLC was paid $87K by Medicaid between Oct 2021 and Sep 2024, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 38% of everything it billed.
33Billing provider infoLAKE VALLEY DENTAL PLLC
WHEATON, MN 56296
WHEATON, MN 56296
33aNPI1720755531assigned 08/28/2021
33bProvider typeDental Clinic/Center
28Total paid$87K
24GClaims1,980
24DCodes billed7
24AFirst – last monthOct 2021 – Sep 2024
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#72 of 148
Median peer was paid$70K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2021 | 114 | $3K | |
| 2022 | 510 | $23K | |
| 2023 | 770 | $34K | |
| 2024incomplete | 586 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 38% | 490 | 479 | $33K |
| D1206 | Topical application of fluoride varnish | 20% | 618 | 609 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 358 | 356 | $14K |
| D0274 | Bitewings - four radiographic images | 8.6% | 160 | 157 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.4% | 143 | 143 | $7K |
| D0140 | Limited oral evaluation - problem focused | 6.8% | 122 | 112 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 89 | 86 | $2K |
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 officialWERMERS, JOHNATHAN (DENTIST)