Dental
Heritage Dental Care LTD
Heritage Dental Care LTD was paid $39K by Medicaid between Feb 2018 and Aug 2024, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 42% of everything it billed.
33Billing provider infoHERITAGE DENTAL CARE LTD
NORTHFIELD, MN 55057
NORTHFIELD, MN 55057
33aNPI1932329638assigned 04/26/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$39K
24GClaims1,464
24DCodes billed5
24AFirst – last monthFeb 2018 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#156 of 368
Median peer was paid$19K
This provider vs. median2.0×
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 | 80 | $0.00 | |
| 2019 | 151 | $3K | |
| 2020 | 327 | $7K | |
| 2021 | 290 | $7K | |
| 2022 | 268 | $10K | |
| 2023 | 191 | $6K | |
| 2024incomplete | 157 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 42% | 457 | 455 | $16K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 42% | 781 | 777 | $16K |
| D0274 | Bitewings - four radiographic images | 11% | 166 | 166 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.3% | 27 | 27 | $909.28 |
| D1206 | Topical application of fluoride varnish | 2.0% | 33 | 33 | $778.64 |
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 officialEHRESMANN, JOHN (OWNER)