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    OpenPayerNPI Medicare & MedicaidMiso Dentistry, PC
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    Miso Dentistry, PC — Billing Profile & Reimbursement Data

    NPI 1629538988 · Maple Grove, MN · Dentist

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    Miso Dentistry, PC is a dentist provider located in Maple Grove, Minnesota. This profile covers 0 Medicare and 44 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
    OrganizationMiso Dentistry, PC
    Address6240 Quinwood Ln N # 100
    CityMaple Grove
    StateMN
    ZIP55369
    TaxonomyDentist
    NPI EnumeratedMarch 22, 2019

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

    Payer SourceTotal Paid
    Medicaid$8.4M
    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.

    44 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D8670N/A14,170$150$2.2M
    D8080N/A1,320$1,050$1.4M
    D1110Prophylaxis - adult; cleaning and polishing of the teeth12,700$40$482.7K
    D0120Periodic oral evaluation - established patient18,000$20$431.9K
    D2722N/A720$470$339.4K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients16,170$20$307.2K
    D0330N/A5,710$50$302.6K
    D5226N/A360$780$281.1K
    D1351Sealant - per tooth13,720$20$274.4K
    D0274N/A9,470$30$255.6K

    Showing 1–10 of 44

    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

    44 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D8670N/A6801,220$200$930.7K
    D8080N/A1650370$380$834.1K
    T1013Sign language or oral interpretive services, per 15 minutes157210560$60$822.1K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)65240730$100$243.2K
    D2722N/A32080$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…60120320$140$221.6K
    D2392Post 2 surface resin‑based composite43270540$90$161.5K
    D0140Limited oral evaluation – problem focused114390730$60$153.3K
    D3330N/A82060$850$147.2K
    D0120Periodic oral evaluation - established patient24740430$50$120.3K

    Showing 1–10 of 44

    Nearby Providers

    Other providers in the same ZIP code as Miso Dentistry, PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Al Shifa Dentistry PAMNDental Clinic/Center$0$18.4M
    Regency Home Healthcare Services LLCMNHome Health Agency$0$11.1M
    Children's Clinic NetworkMNPrimary Care Clinic/Center$0$10M
    Osseo Area SchoolsMNLocal Education Agency (LEA)$0$8.8M
    Maple Grove Hospital CorporationMNGeneral Acute Care Hospital$0$7.6M
    Interventional Spine And Pain Physicians, PAMNSpecialist$0$5.5M
    North Memorial Health CareMNUrgent Care Clinic/Center$0$4.5M
    Metropolitan Surgical Center, LLCMNAmbulatory Surgical Clinic/Center$1.6M$1.3M
    Asim KhanMNRheumatology Physician$2.4M$0
    Sumi PatelMNRheumatology Physician$364.5K$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
    2 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Minnesota Distribution
    Miso Dentistry, PC — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota