Dental
Cosmetic & Family Dentistry, PLLC
Cosmetic & Family Dentistry, PLLC was paid $2.70M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is D1351, Sealant - per tooth — 14% of everything it billed.
33Billing provider infoCOSMETIC & FAMILY DENTISTRY, PLLC
BAXTER, MN 56425
BAXTER, MN 56425
33aNPI1942611272assigned 05/08/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$2.70M
24GClaims70,989
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#28 of 368
Median peer was paid$19K
This provider vs. median141×
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 | 1,482 | $11K | |
| 2019 | 2,429 | $77K | |
| 2020 | 4,809 | $123K | |
| 2021 | 7,175 | $168K | |
| 2022 | 12,042 | $441K | |
| 2023 | 20,771 | $871K | |
| 2024incomplete | 22,281 | $1.01M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 14% | 10,261 | 2,788 | $368K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 7,501 | 7,267 | $308K |
| D1206 | Topical application of fluoride varnish | 11% | 10,877 | 10,460 | $299K |
| D0330 | Panoramic radiographic image | 8.3% | 2,686 | 2,606 | $224K |
| D1110 | Prophylaxis - adult | 6.9% | 3,348 | 3,263 | $188K |
| D9410 | 5.8% | 5,547 | 4,987 | $157K | |
| D1330 | 5.3% | 5,947 | 5,691 | $142K | |
| D0274 | Bitewings - four radiographic images | 5.2% | 3,360 | 3,294 | $141K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.0% | 738 | 304 | $135K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.7% | 2,890 | 2,833 | $101K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.7% | 1,046 | 653 | $99K |
| D0140 | Limited oral evaluation - problem focused | 3.6% | 2,396 | 2,284 | $98K |
18 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.6% | 1,288 | $98K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 2,044 | $97K |
| D1310 | 1.7% | 1,042 | $45K | |
| D0272 | Bitewings - two radiographic images | 1.6% | 1,121 | $44K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.6% | 414 | $43K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 1,889 | $33K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.1% | 234 | $30K |
| D2140 | <1% | 128 | $11K | |
| D2331 | <1% | 67 | $8K | |
| D1354 | <1% | 231 | $8K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 671 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 58 | $5K |
| D2160 | <1% | 36 | $5K | |
| D2330 | <1% | 44 | $3K | |
| D2335 | <1% | 20 | $3K | |
| D2161 | <1% | 16 | $3K | |
| D9985 | <1% | 4,996 | $25.38 | |
| D3120 | 0% | 93 | $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 officialDENS, KEVIN (OWNER)