Dental
Centennial Lakes Dental Group
Centennial Lakes Dental Group was paid $13K by Medicaid between Mar 2018 and Oct 2024, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 50% of everything it billed.
33Billing provider infoCENTENNIAL LAKES DENTAL GROUP
GOLDEN VALLEY, MN 55422
GOLDEN VALLEY, MN 55422
33aNPI1972748721assigned 12/09/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$13K
24GClaims486
24DCodes billed2
24AFirst – last monthMar 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#201 of 368
Median peer was paid$19K
This provider vs. median0.7×
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 | 45 | $81.16 | |
| 2019 | 25 | $475.65 | |
| 2020 | 86 | $2K | |
| 2021 | 137 | $3K | |
| 2022 | 88 | $4K | |
| 2023 | 51 | $2K | |
| 2024incomplete | 54 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 50% | 159 | 159 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 50% | 327 | 327 | $7K |
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 officialSLAVIK, JUDY (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Centennial Lakes Dental Group | Edina, MN | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.