Clinic
PDB, DDS, PA
PDB, DDS, PA was paid $514.80 by Medicaid between Oct 2023 and Oct 2023, across 1 billing code. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.
33Billing provider infoPDB, DDS, PA
MAPLE GROVE, MN 55369
MAPLE GROVE, MN 55369
33aNPI1942809637assigned 10/22/2020
33bProvider typeDental Clinic/Center
28Total paid$514.80
24GClaims16
24DCodes billed1
24AFirst – last monthOct 2023 – Oct 2023
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#139 of 148
Median peer was paid$70K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2023 | 16 | $514.80 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 100% | 16 | 16 | $514.80 |
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 officialBOETTNER, PAUL (CEO)