Clinic
Luce Line Family Dental PLLC
Luce Line Family Dental PLLC was paid $4K by Medicaid between Aug 2024 and Nov 2024, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 46% of everything it billed.
33Billing provider infoLUCE LINE FAMILY DENTAL PLLC
WINSTED, MN 55395
WINSTED, MN 55395
33aNPI1821835968assigned 07/15/2024
33bProvider typeDental Clinic/Center
28Total paid$4K
24GClaims109
24DCodes billed4
24AFirst – last monthAug 2024 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#111 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 | |
|---|---|---|---|
| 2024incomplete | 109 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 46% | 39 | 39 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 28% | 39 | 39 | $1K |
| D0274 | Bitewings - four radiographic images | 17% | 16 | 16 | $729.96 |
| D1208 | Topical application of fluoride, excluding varnish | 9.0% | 15 | 15 | $396.48 |
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 officialHAHN, DANIELLE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Luce Line Family Dental PLLC | Howard Lake, MN | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.