Clinic
Wooddale Dental Center, LLC
Wooddale Dental Center, LLC was paid $4K by Medicaid between Aug 2018 and Jun 2020, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 64% of everything it billed.
33Billing provider infoWOODDALE DENTAL CENTER, LLC
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
33aNPI1881972560assigned 07/28/2011
33bProvider typeDental Clinic/Center
28Total paid$4K
24GClaims310
24DCodes billed7
24AFirst – last monthAug 2018 – Jun 2020
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#116 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 | |
|---|---|---|---|
| 2018 | 112 | $79.44 | |
| 2019 | 174 | $3K | |
| 2020 | 24 | $251.04 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 64% | 155 | 152 | $2K |
| D1206 | Topical application of fluoride varnish | 29% | 84 | 82 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.5% | 12 | 12 | $282.72 |
| D0274 | Bitewings - four radiographic images | 0% | 14 | 14 | $0.00 |
| D1999 | 0% | 12 | 12 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 20 | 20 | $0.00 |
| D1330 | 0% | 13 | 13 | $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 officialSIMIC, JELENA (DENTIST)