Clinic
Donabauer Family Dentistry, PC
Donabauer Family Dentistry, PC was paid $3K by Medicaid between Sep 2021 and Oct 2024, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 56% of everything it billed.
33Billing provider infoDONABAUER FAMILY DENTISTRY, PC
MOORHEAD, MN 56560
MOORHEAD, MN 56560
33aNPI1992964530assigned 06/09/2008
33bProvider typeDental Clinic/Center
28Total paid$3K
24GClaims88
24DCodes billed2
24AFirst – last monthSep 2021 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#122 of 148
Median peer was paid$70K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 13 | $221.06 | |
| 2023 | 31 | $818.48 | |
| 2024incomplete | 44 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 56% | 62 | 59 | $1K |
| D1110 | Prophylaxis - adult | 44% | 26 | 24 | $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 officialDONABAUER, BRADLY (PRESIDENT)