Clinic
PL Dental SC
PL Dental SC was paid $627K by Medicaid between Jun 2024 and Nov 2024, across 24 billing codes. Its largest line is D2720, — 45% of everything it billed.
33Billing provider infoPL DENTAL SC
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
33aNPI1952140691assigned 05/22/2024
33bProvider typeDental Clinic/Center
28Total paid$627K
24GClaims8,655
24DCodes billed24
24AFirst – last monthJun 2024 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#47 of 148
Median peer was paid$70K
This provider vs. median8.9×
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 | |
|---|---|---|---|
| 2024incomplete | 8,655 | $627K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2720 | 45% | 383 | 149 | $280K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.5% | 733 | 257 | $53K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 7.0% | 438 | 109 | $44K |
| D0330 | Panoramic radiographic image | 4.1% | 490 | 329 | $26K |
| D7140 | Extraction, erupted tooth or exposed root | 3.6% | 278 | 69 | $23K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.6% | 395 | 171 | $22K |
| D1110 | Prophylaxis - adult | 3.3% | 436 | 286 | $21K |
| D2950 | 3.0% | 141 | 77 | $19K | |
| D0274 | Bitewings - four radiographic images | 3.0% | 627 | 414 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 484 | 323 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.6% | 586 | 388 | $16K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.5% | 176 | 80 | $15K |
12 more codes
| D0140 | Limited oral evaluation - problem focused | 2.1% | 398 | $13K |
| D1120 | Dental cleaning, child | 1.6% | 302 | $10K |
| D1330 | 1.3% | 479 | $8K | |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 569 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 1.2% | 316 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 733 | $7K |
| D2331 | <1% | 57 | $6K | |
| D1206 | Topical application of fluoride varnish | <1% | 228 | $6K |
| D0272 | Bitewings - two radiographic images | <1% | 116 | $3K |
| D4910 | <1% | 35 | $2K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 87 | $1K |
| D0270 | <1% | 168 | $1K |
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 officialLY, PHONG (OFFICE MANAGER)
Parent organizationPL DENTAL SC
| Provider | Location | Paid |
|---|---|---|
| PL Dental SC | Zimmerman, MN | $4.23M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.