NPI: 1952546061 · MINNEAPOLIS, MN 55454 · Dental Clinic/Center · NPI assigned 12/04/2008
Authorized official JOHNSON, MARY controls 12+ related entities in our dataset. Read more
| Authorized Official | JOHNSON, MARY (CHIEF OPERATING OFFICER) |
| NPI Enumeration Date | 12/04/2008 |
Other providers sharing the same authorized official: JOHNSON, MARY
| Provider | City | State | Total Paid |
|---|---|---|---|
| INDEPENDENT AT HOME, LLC | BROCKTON | MA | $8.74M |
| SOC HEALTH SOLUTIONS CDS LLC | SAINT LOUIS | MO | $7.76M |
| UNIVERSITY OF MINNESOTA PEDIATRIC DENTAL CLINIC | MINNEAPOLIS | MN | $4.73M |
| SANTA ANITA CONVALESCENT HOSPITAL & RETIREMENT CENTER, INC | ARCADIA | CA | $3.91M |
| SOC HEALTH SOLUTIONS LLC | SAINT LOUIS | MO | $1.74M |
| BROWNING PUBLIC SCHOOLS | BROWNING | MT | $830K |
| CLAREMORE PODIATRY, P.C. | CLAREMORE | OK | $186K |
| CLOUD PEAK COUNSELING CENTER | WORLAND | WY | $170K |
| UNIVERSITY OF MINNESOTA PHYSICIANS | MINNEAPOLIS | MN | $81K |
| SCHOOL OF THE OSAGE R-II | LAKE OZARK | MO | $31K |
| STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET | MINNEAPOLIS | MN | $0.00 |
| STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET | MINNEAPOLIS | MN | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,901 | $47K |
| 2019 | 4,746 | $131K |
| 2020 | 1,344 | $35K |
| 2021 | 1,008 | $23K |
| 2022 | 956 | $39K |
| 2023 | 222 | $8K |
| 2024 | 49 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 2,234 | 2,113 | $70K |
| D0140 | Limited oral evaluation - problem focused | 1,862 | 1,775 | $43K |
| D0274 | Bitewings - four radiographic images | 1,557 | 1,522 | $33K |
| D0120 | Periodic oral evaluation - established patient | 1,766 | 1,720 | $28K |
| D7140 | Extraction, erupted tooth or exposed root | 616 | 248 | $23K |
| D0330 | Panoramic radiographic image | 509 | 504 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 1,862 | 1,781 | $16K |
| D1206 | Topical application of fluoride varnish | 923 | 884 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 625 | 596 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,582 | 752 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 348 | 245 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 241 | 167 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 34 | 26 | $2K |
| D1120 | Prophylaxis - child | 37 | 37 | $2K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 17 | 15 | $1K |
| D9420 | 13 | 12 | $29.72 |