Dental
Community Dental Care INC
Community Dental Care INC was paid $8K by Medicaid between Jan 2018 and Apr 2018, across 18 billing codes. Its largest line is D1110, Prophylaxis - adult — 36% of everything it billed.
33Billing provider infoCOMMUNITY DENTAL CARE INC
ROCHESTER, MN 55904
ROCHESTER, MN 55904
33aNPI1801147582assigned 09/21/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$8K
24GClaims4,076
24DCodes billed18
24AFirst – last monthJan 2018 – Apr 2018
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#224 of 368
Median peer was paid$19K
This provider vs. median0.4×
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 | 4,076 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 36% | 376 | 374 | $3K |
| D1206 | Topical application of fluoride varnish | 19% | 440 | 437 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 13% | 580 | 547 | $990.28 |
| D0274 | Bitewings - four radiographic images | 13% | 289 | 287 | $969.72 |
| D0230 | Intraoral - periapical each additional radiographic image | 9.5% | 577 | 415 | $710.41 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.0% | 271 | 271 | $375.68 |
| D7140 | Extraction, erupted tooth or exposed root | 1.2% | 239 | 124 | $86.62 |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.0% | 182 | 181 | $77.67 |
| D0330 | Panoramic radiographic image | <1% | 163 | 162 | $69.42 |
| D0140 | Limited oral evaluation - problem focused | <1% | 159 | 155 | $69.04 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 146 | 104 | $68.24 |
| D2330 | 0% | 19 | 12 | $0.00 |
6 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 106 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 78 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 226 | $0.00 |
| D1330 | 0% | 65 | $0.00 | |
| D2331 | 0% | 36 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 124 | $0.00 |
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 officialSCHULTZ, KORINE (HUMAN RESOURCE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Community Dental Care INC | Crystal, MN | $5.94M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.