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    v1.0.28
    OpenPayerNPI Medicare & MedicaidApple Tree Dental
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    Apple Tree Dental — Billing Profile & Reimbursement Data

    NPI 1871828152 · Fergus Falls, MN · General Practice Dentistry

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    Apple Tree Dental is a general practice dentistry provider located in Fergus Falls, Minnesota. This profile covers 0 Medicare and 37 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationApple Tree Dental
    Address327 Western Ave
    CityFergus Falls
    StateMN
    ZIP56537
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedOctober 5, 2009

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

    Payer SourceTotal Paid
    Medicaid$7.5M
    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.

    37 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1110Prophylaxis - adult; cleaning and polishing of the teeth16,990$60$968.3K
    D0120Periodic oral evaluation - established patient20,830$40$770.5K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients21,130$30$612.7K
    D2392Post 2 surface resin‑based composite6,370$90$573.7K
    D2391Resin‑based composite – one surface, posterior7,360$80$552.1K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)5,070$100$501.7K
    D0274N/A11,390$40$500.9K
    D1120Prophylaxis–child11,140$40$434.6K
    D1354N/A11,860$40$427.1K
    D0330N/A4,430$80$363.5K

    Showing 1–10 of 37

    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

    37 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A4270610$170$518.6K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)34240730$100$243.2K
    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…79120320$140$221.6K
    D2392Post 2 surface resin‑based composite21270540$90$161.5K
    D0140Limited oral evaluation – problem focused42390730$60$153.3K
    D9410N/A1020170$30$137.5K
    D0120Periodic oral evaluation - established patient19740430$50$120.3K
    D2391Resin‑based composite – one surface, posterior11250420$70$116.6K
    D0330N/A39370590$60$109K
    D1354N/A780370$30$108.1K

    Showing 1–10 of 37

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Apple Tree Dental, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Apple Tree DentalMNGeneral Practice Dentistry$0$11.4M
    Apple Tree DentalMNGeneral Practice Dentistry$0$8.3M
    Apple Tree DentalMNGeneral Practice Dentistry$0$8.2M
    Apple Tree DentalMNGeneral Practice Dentistry$0$6.5M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lakeland Mental Health Center, Inc.MNMental Health Clinic/Center (Including Community Mental Health Center)$0$48.1M
    Lake Region Healthcare CorporationMNGeneral Acute Care Hospital$0$25.3M
    New Dimensions Home Health Care, IncMNHome Health Agency$0$9.4M
    Great Lakes Pediatric Dentistry PLLCMNPediatric Dentistry$0$4.9M
    Community Addiction Recovery Enterprise Fergus FallsMNSubstance Abuse Rehabilitation Facility$0$4.6M
    Ringdahl Ambulances IncMNLand Ambulance$469.5K$1.7M
    Steven ThomMNOphthalmology Physician$421.2K$0
    Thrifty Drug Stores IncMNCommunity/Retail Pharmacy$98.4K$48.2K
    Joellen Kohlman-petrickMNInternal Medicine Physician$126.2K$0
    Bruce MoneyMNInternal Medicine Physician$90.3K$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
    Apple Tree Dental — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota