Dental
Family & Cosmetic Gentle Dentistry, LTD
Family & Cosmetic Gentle Dentistry, LTD was paid $171K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 28% of everything it billed.
33Billing provider infoFAMILY & COSMETIC GENTLE DENTISTRY, LTD
PLYMOUTH, MN 55441
PLYMOUTH, MN 55441
33aNPI1750563227assigned 11/27/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$171K
24GClaims5,113
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#100 of 368
Median peer was paid$19K
This provider vs. median9.0×
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 | 492 | $0.00 | |
| 2019 | 80 | $2K | |
| 2020 | 132 | $3K | |
| 2021 | 403 | $10K | |
| 2022 | 955 | $36K | |
| 2023 | 1,391 | $52K | |
| 2024incomplete | 1,660 | $67K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 28% | 994 | 991 | $49K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 1,138 | 1,137 | $32K |
| D0274 | Bitewings - four radiographic images | 11% | 548 | 546 | $19K |
| D0140 | Limited oral evaluation - problem focused | 11% | 408 | 401 | $19K |
| D1206 | Topical application of fluoride varnish | 11% | 758 | 756 | $18K |
| D0220 | Intraoral - periapical first radiographic image | 5.4% | 537 | 516 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 162 | 162 | $7K |
| D0330 | Panoramic radiographic image | 3.0% | 58 | 58 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.3% | 101 | 99 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 293 | 84 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 38 | 13 | $3K |
| D1330 | <1% | 34 | 34 | $2K |
1 more codes
| D0460 | <1% | 44 | $1K |
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 officialGAVIC, DIANA (OPERATIONS MANAGER)
Parent organizationFAMILY & COSMETIC GENTLE DENTISTRY, LTD
| Provider | Location | Paid |
|---|---|---|
| Family & Cosmetic Gentle Dentistry, LTD | Coon Rapids, MN | $6.38M |
| Family & Cosmetic Gentle Dentistry, LTD | Hutchinson, MN | $5.45M |
| Family & Cosmetic Gentle Dentistry, LTD | Alexandria, MN | $3.78M |
| Family & Cosmetic Gentle Dentistry, LTD | New Hope, MN | $2.47M |
| Family & Cosmetic Gentle Dentistry, LTD | Eagan, MN | $496K |
| Family & Cosmetic Gentle Dentistry, LTD | Minneapolis, MN | $277K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.