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    OpenPayerNPI Medicare & MedicaidFamily & Cosmetic Gentle Dentistry, Ltd
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    Family & Cosmetic Gentle Dentistry, Ltd — Billing Profile & Reimbursement Data

    NPI 1982886859 · Coon Rapids, MN · General Practice Dentistry

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    Family & Cosmetic Gentle Dentistry, Ltd is a general practice dentistry provider located in Coon Rapids, Minnesota. This profile covers 0 Medicare and 33 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
    OrganizationFamily & Cosmetic Gentle Dentistry, Ltd
    Address97 85th Ave Nw
    CityCoon Rapids
    StateMN
    ZIP55433
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedDecember 3, 2007

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

    Payer SourceTotal Paid
    Medicaid$6.4M
    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.

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1110Prophylaxis - adult; cleaning and polishing of the teeth14,530$50$755.7K
    D0120Periodic oral evaluation - established patient16,340$30$522.8K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients17,270$30$466.4K
    D0330N/A6,100$70$439.5K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)4,970$90$422.7K
    D0274N/A11,380$40$409.8K
    D2392Post 2 surface resin‑based composite3,840$100$399.5K
    D2150Amalgam - two surfaces, primary or permanent5,140$70$370K
    D2391Resin‑based composite – one surface, posterior4,410$80$352.9K
    D1120Prophylaxis–child7,540$40$279K

    Showing 1–10 of 33

    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

    33 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)35240730$100$243.2K
    D2392Post 2 surface resin‑based composite33270540$90$161.5K
    D0140Limited oral evaluation – problem focused53390730$60$153.3K
    D2721N/A1520120$1,060$143.3K
    D0120Periodic oral evaluation - established patient26740430$50$120.3K
    D2391Resin‑based composite – one surface, posterior28250420$70$116.6K
    D0330N/A23370590$60$109K
    D0240N/A1350510$30$95.5K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth19640380$50$93.7K
    D0150Comprehensive oral evaluation – new or established patient18370530$60$91.1K

    Showing 1–10 of 33

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Family & Cosmetic Gentle Dentistry, Ltd, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family & Cosmetic Gentle Dentistry, LtdMNGeneral Practice Dentistry$0$5.4M
    Family And Cosmetic Gentle DentistryMNDental Clinic/Center$0$5.2M

    Nearby Providers

    Other providers in the same ZIP code as Family & Cosmetic Gentle Dentistry, Ltd, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Allina Health SystemMNGeneral Acute Care Hospital$0$48.8M
    Allina Health SystemMNFamily Medicine Physician$0$22.2M
    Nura PLLCMNPain Medicine Physician$0$13.8M
    Select Senior Living Of Coon Rapids, LLCMNAssisted Living Facility$0$13.6M
    Empathy Home Care IncMNHome Health Agency$0$7M
    Nura PLLCMNHome Infusion Agency$0$6.2M
    Kingdom PathwaysMNCommunity/Behavioral Health Agency$0$5.2M
    Uzma AliMNHematology & Oncology Physician$868.9K$0
    Scott PetersonMNOphthalmology Physician$728.2K$0
    Nisha JacobsMNHematology & Oncology Physician$674.5K$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
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Minnesota Distribution
    Family & Cosmetic Gentle Dentistry, Ltd — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota