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    OpenPayerNPI Medicare & MedicaidDiamond Dental PLLC
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    Diamond Dental PLLC — Billing Profile & Reimbursement Data

    NPI 1497018808 · Minnetonka, MN · Dentist

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    Diamond Dental PLLC is a dentist provider located in Minnetonka, Minnesota. This profile covers 0 Medicare and 49 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeOrganization
    OrganizationDiamond Dental PLLC
    Address11050 Cedar Hills Blvd
    CityMinnetonka
    StateMN
    ZIP55305
    TaxonomyDentist
    NPI EnumeratedJune 20, 2012

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$4.8M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    49 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2392Post 2 surface resin‑based composite7,720$70$502K
    D0330N/A8,310$50$432.3K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)5,460$70$360.6K
    D0274N/A12,010$30$348.3K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth8,010$40$344.3K
    D0120Periodic oral evaluation - established patient10,670$30$277.5K
    D0150Comprehensive oral evaluation – new or established patient8,640$30$267.9K
    D2391Resin‑based composite – one surface, posterior4,070$60$227.9K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients9,390$20$206.6K
    D1351Sealant - per tooth8,080$30$201.9K

    Showing 1–10 of 49

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Minnesota median

    49 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A5570610$170$518.6K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)29240730$100$243.2K
    D2722N/A172080$910$237.1K
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…36120320$140$221.6K
    D5110N/A2330100$840$164.6K
    D2392Post 2 surface resin‑based composite15270540$90$161.5K
    D0140Limited oral evaluation – problem focused35390730$60$153.3K
    D0120Periodic oral evaluation - established patient48740430$50$120.3K
    D2391Resin‑based composite – one surface, posterior30250420$70$116.6K
    D0330N/A13370590$60$109K

    Showing 1–10 of 49

    Nearby Providers

    Other providers in the same ZIP code as Diamond Dental PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stonecrest Living IncMNHome Health Agency$0$40.4M
    St. David's CenterMNCommunity/Behavioral Health Agency$0$12.9M
    Hopkins School DistrictMNLocal Education Agency (LEA)$0$6.6M
    St. David's CenterMNRehabilitation Clinic/Center$0$6.3M
    West Side Sober LivingMNSubstance Abuse Rehabilitation Facility$0$5.2M
    Irene GrudskyMNContractor$0$5.2M
    500 Carlson Parkway Opco LLCMNSkilled Nursing Facility$0$4.8M
    St. David's CenterMNCase Management Agency$0$4.8M
    Minnesota Eye Laser & Surgery Centers, LLCMNAmbulatory Surgical Clinic/Center$1.6M$0
    Thomas SamuelsonMNOphthalmology Physician$249.4K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Minnesota Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Minnesota Distribution
    Diamond Dental PLLC — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota