Clinic
Chicago Lake Family Dental LLC
Chicago Lake Family Dental LLC was paid $3.21M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 9.5% of everything it billed.
33Billing provider infoCHICAGO LAKE FAMILY DENTAL LLC
MINNEAPOLIS, MN 55407
MINNEAPOLIS, MN 55407
33aNPI1770095028assigned 10/26/2017
33bProvider typeDental Clinic/Center
28Total paid$3.21M
24GClaims80,887
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#16 of 148
Median peer was paid$70K
This provider vs. median46×
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 | 2,584 | $50K | |
| 2019 | 16,700 | $410K | |
| 2020 | 3,421 | $91K | |
| 2021 | 8,218 | $228K | |
| 2022 | 15,924 | $765K | |
| 2023 | 19,224 | $945K | |
| 2024incomplete | 14,816 | $723K |
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 | 9.5% | 3,574 | 1,847 | $306K |
| D0330 | Panoramic radiographic image | 9.5% | 3,916 | 3,817 | $305K |
| D1110 | Prophylaxis - adult | 8.7% | 4,750 | 4,708 | $279K |
| D0274 | Bitewings - four radiographic images | 7.8% | 6,214 | 6,096 | $250K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.6% | 5,679 | 5,628 | $212K |
| D1206 | Topical application of fluoride varnish | 6.6% | 7,187 | 7,125 | $211K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.3% | 13,783 | 8,574 | $170K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.3% | 4,494 | 4,389 | $169K |
| D0220 | Intraoral - periapical first radiographic image | 5.2% | 9,665 | 9,398 | $169K |
| D4341 | 5.2% | 803 | 318 | $168K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.1% | 1,330 | 733 | $132K |
| D1351 | Sealant - per tooth | 4.1% | 3,746 | 1,141 | $130K |
19 more codes
| D1120 | Dental cleaning, child | 4.0% | 3,292 | $127K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 1,660 | $111K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.7% | 912 | $86K |
| D1330 | 2.0% | 4,380 | $64K | |
| D7140 | Extraction, erupted tooth or exposed root | 1.9% | 621 | $62K |
| D0140 | Limited oral evaluation - problem focused | 1.7% | 1,468 | $55K |
| D0272 | Bitewings - two radiographic images | 1.6% | 1,611 | $52K |
| D2160 | 1.3% | 316 | $42K | |
| D2140 | <1% | 260 | $22K | |
| D2721 | <1% | 18 | $19K | |
| D2331 | <1% | 139 | $17K | |
| D7111 | <1% | 195 | $16K | |
| D4910 | <1% | 175 | $15K | |
| D2335 | <1% | 92 | $14K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 40 | $6K |
| D2332 | <1% | 16 | $2K | |
| D0180 | <1% | 365 | $2K | |
| D0270 | <1% | 12 | $83.67 | |
| D9985 | <1% | 174 | $68.05 |
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 officialBARBARAWI, ALI (GENERAL DENTIST)