Dental
Riverside Dental Care,llc
Riverside Dental Care,llc was paid $32K by Medicaid between Apr 2018 and Oct 2024, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 48% of everything it billed.
33Billing provider infoRIVERSIDE DENTAL CARE,LLC
SAINT PETER, MN 56082
SAINT PETER, MN 56082
33aNPI1861579658assigned 11/01/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$32K
24GClaims1,324
24DCodes billed7
24AFirst – last monthApr 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#163 of 368
Median peer was paid$19K
This provider vs. median1.7×
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 | 133 | $291.58 | |
| 2019 | 52 | $1K | |
| 2020 | 234 | $4K | |
| 2021 | 314 | $8K | |
| 2022 | 256 | $8K | |
| 2023 | 211 | $6K | |
| 2024incomplete | 124 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 48% | 655 | 646 | $15K |
| D1110 | Prophylaxis - adult | 23% | 153 | 152 | $7K |
| D1206 | Topical application of fluoride varnish | 13% | 213 | 212 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 8.4% | 188 | 182 | $3K |
| D0274 | Bitewings - four radiographic images | 5.7% | 59 | 58 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 41 | 13 | $344.82 |
| D1999 | 0% | 15 | 14 | $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 officialLUND, MICHELLE (OWNER)