Dental
University of Minnesota Pediatric Dental Clinic
University of Minnesota Pediatric Dental Clinic was paid $4.73M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 30% of everything it billed.
33Billing provider infoUNIVERSITY OF MINNESOTA PEDIATRIC DENTAL CLINIC
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
33aNPI1992075287assigned 01/04/2012
33bProvider typeDentist
28Total paid$4.73M
24GClaims99,150
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Minnesota
Rank by total paid#7 of 192
Median peer was paid$9K
This provider vs. median516×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official JOHNSON, MARY controls 12+ related entities in our dataset. Read more
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 | 6,720 | $135K | |
| 2019 | 25,611 | $1.05M | |
| 2020 | 11,949 | $512K | |
| 2021 | 17,986 | $801K | |
| 2022 | 12,895 | $800K | |
| 2023 | 12,451 | $731K | |
| 2024incomplete | 11,538 | $694K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 30% | 9,192 | 2,104 | $1.43M |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 16,646 | 16,445 | $599K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 13,616 | 13,472 | $498K |
| D7140 | Extraction, erupted tooth or exposed root | 9.8% | 5,091 | 1,897 | $464K |
| D1206 | Topical application of fluoride varnish | 8.9% | 16,720 | 16,512 | $421K |
| D0140 | Limited oral evaluation - problem focused | 3.8% | 3,773 | 3,674 | $179K |
| D0272 | Bitewings - two radiographic images | 3.7% | 5,791 | 5,730 | $174K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.6% | 2,190 | 1,405 | $168K |
| D1351 | Sealant - per tooth | 3.1% | 5,625 | 1,884 | $146K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 2,695 | 2,652 | $118K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 1,543 | 1,063 | $95K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.7% | 4,476 | 4,234 | $78K |
18 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 2,905 | $55K |
| D0240 | 1.1% | 2,096 | $51K | |
| D0330 | Panoramic radiographic image | 1.1% | 584 | $51K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.0% | 3,370 | $49K |
| D2335 | <1% | 371 | $40K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 230 | $28K |
| D9420 | <1% | 1,142 | $18K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 159 | $13K |
| D2330 | <1% | 175 | $12K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 259 | $11K |
| D1510 | <1% | 61 | $9K | |
| D1110 | Prophylaxis - adult | <1% | 136 | $6K |
| D1330 | <1% | 91 | $2K | |
| D9248 | <1% | 83 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 45 | $2K |
| D1354 | <1% | 60 | $1K | |
| D2331 | <1% | 13 | $1K | |
| D0270 | <1% | 12 | $216.12 |
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 officialJOHNSON, MARY (COO)
Parent organizationUMPHYSICIANS
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|---|---|---|
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| 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 |
| University of Minnesota Physicians | Minneapolis, MN | $284K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.