Dental
Metropolitan Pediatric Dental Associates, LTD
Metropolitan Pediatric Dental Associates, LTD was paid $3.15M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D0120, dental checkup, returning patient — 23% of everything it billed.
33Billing provider infoMETROPOLITAN PEDIATRIC DENTAL ASSOCIATES, LTD
FRIDLEY, MN 55432
FRIDLEY, MN 55432
33aNPI1730238767assigned 01/09/2007
33bProvider typePediatric Dentist
28Total paid$3.15M
24GClaims107,039
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Minnesota
Rank by total paid#8 of 49
Median peer was paid$94K
This provider vs. median34×
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 | |
|---|---|---|---|
| 2018 | 24,579 | $143K | |
| 2019 | 23,694 | $783K | |
| 2020 | 11,738 | $363K | |
| 2021 | 14,140 | $461K | |
| 2022 | 11,914 | $547K | |
| 2023 | 10,051 | $417K | |
| 2024incomplete | 10,923 | $439K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 23,927 | 23,800 | $739K |
| D1206 | Topical application of fluoride varnish | 17% | 21,940 | 21,814 | $534K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 17,959 | 17,864 | $530K |
| D0272 | Bitewings - two radiographic images | 8.9% | 11,391 | 11,320 | $281K |
| D1110 | Prophylaxis - adult | 7.3% | 5,259 | 5,230 | $229K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.6% | 1,099 | 688 | $114K |
| D1351 | Sealant - per tooth | 3.5% | 4,478 | 1,206 | $109K |
| D7140 | Extraction, erupted tooth or exposed root | 3.3% | 1,628 | 1,019 | $103K |
| D0274 | Bitewings - four radiographic images | 3.2% | 2,747 | 2,730 | $99K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 6,533 | 6,130 | $93K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.6% | 1,548 | 1,021 | $81K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.5% | 1,046 | 659 | $80K |
11 more codes
| D0330 | Panoramic radiographic image | 1.5% | 663 | $48K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,013 | $28K |
| D2140 | <1% | 686 | $25K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 315 | $17K |
| D0140 | Limited oral evaluation - problem focused | <1% | 511 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 674 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 770 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,791 | $4K |
| D2330 | <1% | 15 | $453.95 | |
| D1354 | <1% | 12 | $281.82 | |
| D9985 | <1% | 34 | $2.40 |
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 officialNICKMNA, JAMES (PRESIDENT)
Parent organizationMETROPOLITAN PEDIATRIC DENTAL ASSOCIATES, LTD