Kyle R Danielson, DDS, PLLC

Kyle R Danielson, DDS, PLLC was paid $8K by Medicaid between May 2022 and Oct 2024, across 7 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 29% of everything it billed.

33Billing provider infoKYLE R DANIELSON, DDS, PLLC
SPRING PARK, MN 55384

33aNPI1750930525assigned 09/05/2019

33bProvider typeDental Clinic/Center

28Total paid$8K

24GClaims290

24DCodes billed7

24AFirst – last monthMay 2022 – Oct 2024

Compared with peers

Next to other Dental Clinic/Center providers in Minnesota

Rank by total paid#104 of 148

Median peer was paid$70K

This provider vs. median0.1×

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
2022	240	$7K
2023	13	$408.13
2024incomplete	37	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	29%	64	64	$2K
D0274	Bitewings - four radiographic images	20%	52	52	$2K
D1110	Prophylaxis - adult	17%	28	28	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	37	37	$1K
D0220	Intraoral - periapical first radiographic image	9.5%	63	56	$762.89
D1206	Topical application of fluoride varnish	8.8%	25	25	$704.94
D0230	Intraoral - periapical each additional radiographic image	2.6%	21	13	$208.05

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 officialDANIELSON, KYLE (OWNER)