Madison Avenue Family Dental Center, LTD

Madison Avenue Family Dental Center, LTD was paid $1K by Medicaid between Jan 2021 and May 2023, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 85% of everything it billed.

33Billing provider infoMADISON AVENUE FAMILY DENTAL CENTER, LTD
MANKATO, MN 56001

33aNPI1912920059assigned 07/26/2006

33bProvider typeDentist

28Total paid$1K

24GClaims40

24DCodes billed2

24AFirst – last monthJan 2021 – May 2023

Compared with peers

Next to other Dentist providers in Minnesota

Rank by total paid#145 of 192

Median peer was paid$9K

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
2021	28	$676.89
2023	12	$635.93

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	85%	28	27	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	12	12	$196.19

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 officialTORBENSON, KEVIN (CO-OWNER)