Blue Ridge Dental Center PA

Blue Ridge Dental Center PA was paid $1K by Medicaid between Aug 2020 and Dec 2021, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 88% of everything it billed.

33Billing provider infoBLUE RIDGE DENTAL CENTER PA
MINNETONKA, MN 55305

33aNPI1952468654assigned 01/02/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$1K

24GClaims49

24DCodes billed2

24AFirst – last monthAug 2020 – Dec 2021

Compared with peers

Next to other General Practice Dentistry providers in Minnesota

Rank by total paid#276 of 368

Median peer was paid$19K

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
2020	12	$422.89
2021	37	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	88%	37	37	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	12	12	$181.92

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 officialMCHUGH, JUSTIN (VICE PRESIDENT)