Is MINNESOTA ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS PA flagged for Medicaid fraud?

MINNESOTA ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS PA (NPI: 1417175696) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

What is NPI 1417175696?

NPI 1417175696 is the National Provider Identifier for MINNESOTA ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS PA. They are a Specialist provider based in NORTHFIELD, MN. This NPI is registered with the CMS NPI Registry.

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MINNESOTA ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS PA

Specialist·NORTHFIELD, MN·NPI: 1417175696Share

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$28.3M

$28,315,603

Total Claims

148K

Beneficiaries

148K

1.0 claims/patient

Avg Cost/Claim

$191

Monthly Spending Trend

Yearly Spending

2018

$35K

+2499%

2019

$920K

+249%

2020

$3.2M

+52%

2021

$4.9M

+38%

2022

$6.7M

+4%

2023

$7.0M

-22%

2024

$5.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (D8670 (Periodic orthodontic treatment visit)) accounts for 59% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

D8670Periodic orthodontic treatment visitSee all providers →

$16.8M

89K claims

$188.10

$185.01

1.0×

Normal range

D8670Normal range

Periodic orthodontic treatment visit

$16.8M

89K claims · 59.2%

Your Cost: $188.10/claim|Median: $185.01

1.0× median

D8080Comprehensive orthodontic treatment, adolescent dentitionSee all providers →

$5.9M

6,889 claims

$861.71

$968.00

0.9×

Normal range

D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$5.9M

6,889 claims · 21.0%

Your Cost: $861.71/claim|Median: $968.00

0.9× median

D8090 See all providers →

$2.1M

1,560 claims

$1,364.77

$2,172.52

0.6×

Normal range

D8090Normal range

$2.1M

1,560 claims · 7.5%

Your Cost: $1,364.77/claim|Median: $2,172.52

0.6× median

D0340 See all providers →

$963K

12K claims

$82.34

$49.44

1.7×

Top 5%

D0340Top 5%

$963K

12K claims · 3.4%

Your Cost: $82.34/claim|Median: $49.44

1.7× median

D0350 See all providers →

$739K

12K claims

$63.08

$9.73

6.5×

Top 5%

D0350Top 5%

$739K

12K claims · 2.6%

Your Cost: $63.08/claim|Median: $9.73

6.5× median

D0330Panoramic radiographic imageSee all providers →

$697K

12K claims

$59.68

$37.36

1.6×

Top 25%

D0330Top 25%

Panoramic radiographic image

$697K

12K claims · 2.5%

Your Cost: $59.68/claim|Median: $37.36

1.6× median

D0470 See all providers →

$611K

12K claims

$52.86

$34.50

1.5×

Top 25%

D0470Top 25%

$611K

12K claims · 2.2%

Your Cost: $52.86/claim|Median: $34.50

1.5× median

D8020 See all providers →

$279K

150 claims

$1,860.94

$923.59

2.0×

Top 25%

D8020Top 25%

$279K

150 claims · 1.0%

Your Cost: $1,860.94/claim|Median: $923.59

2.0× median

D0150Comprehensive oral evaluation, new or established patientSee all providers →

$167K

3,660 claims

$45.54

$32.07

1.4×

Top 25%

D0150Top 25%

Comprehensive oral evaluation, new or established patient

$167K

3,660 claims · 0.6%

Your Cost: $45.54/claim|Median: $32.07

1.4× median

D8060 See all providers →

$37K

134 claims

$276.61

$536.09

0.5×

Normal range

D8060Normal range

$37K

134 claims · 0.1%

Your Cost: $276.61/claim|Median: $536.09

0.5× median

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