Dental
Family and Cosmetic Gentle Dentistry
Family and Cosmetic Gentle Dentistry was paid $57K by Medicaid between Apr 2023 and Dec 2024, across 12 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 22% of everything it billed.
33Billing provider infoFAMILY AND COSMETIC GENTLE DENTISTRY
EDINA, MN 55436
EDINA, MN 55436
33aNPI1760837041assigned 04/25/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$57K
24GClaims835
24DCodes billed12
24AFirst – last monthApr 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#135 of 368
Median peer was paid$19K
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2023 | 63 | $3K | |
| 2024incomplete | 772 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 22% | 101 | 67 | $13K |
| D1110 | Prophylaxis - adult | 17% | 136 | 136 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 109 | 109 | $6K |
| D0330 | Panoramic radiographic image | 10% | 66 | 66 | $6K |
| D0274 | Bitewings - four radiographic images | 9.3% | 106 | 106 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.5% | 49 | 30 | $5K |
| D1206 | Topical application of fluoride varnish | 6.1% | 90 | 90 | $3K |
| D0140 | Limited oral evaluation - problem focused | 3.9% | 42 | 39 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.7% | 14 | 14 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.5% | 49 | 49 | $2K |
| D1330 | 3.5% | 40 | 40 | $2K | |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 33 | 33 | $734.99 |
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 officialBODIN, ROBERT (OWNER)
Parent organizationFMAILY AND COSMETIC GENTLE DENTISTRY
| Provider | Location | Paid |
|---|---|---|
| Family and Cosmetic Gentle Dentistry | New Hope, MN | $5.18M |
| Gentle Dentistry of Minnesota, LTD | Shakopee, MN | $58K |
| Family and Cosmetic Gentle Dentistry | Wayzata, MN | $903.98 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.