Dental
Centennial Lakes Dental Group
Centennial Lakes Dental Group was paid $10K by Medicaid between Jan 2019 and Jun 2022, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 50% of everything it billed.
33Billing provider infoCENTENNIAL LAKES DENTAL GROUP
EDINA, MN 55435
EDINA, MN 55435
33aNPI1801982111assigned 10/05/2006
33bProvider typeDentist
28Total paid$10K
24GClaims356
24DCodes billed5
24AFirst – last monthJan 2019 – Jun 2022
Compared with peers
Next to other Dentist providers in Minnesota
Rank by total paid#92 of 192
Median peer was paid$9K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2019 | 25 | $517.35 | |
| 2020 | 13 | $255.00 | |
| 2021 | 191 | $4K | |
| 2022 | 127 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 50% | 116 | 116 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 44% | 191 | 190 | $5K |
| D0274 | Bitewings - four radiographic images | 2.8% | 12 | 12 | $288.28 |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 25 | 24 | $243.80 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 12 | 12 | $91.52 |
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 officialSLAVIK, JUDY (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Centennial Lakes Dental Group | Golden Valley, MN | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.