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DR. MATTHEW PAUL GREEN D.D.S.
NPI 1104176163
Dentist in Victoria, MN

Active since September 17, 2012PECOS Enrolled
1405 78TH ST, VICTORIA, MN 55386(952) 443-2994(952) 443-2918 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Matthew Paul Green D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATTHEW PAUL GREEN D.D.S. (NPI 1104176163) is an individual dentist in Victoria, Minnesota, licensed in Minnesota (D13156) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104176163
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MATTHEW PAUL GREENCredential: D.D.S.
Location Address1405 78TH STVictoria, MN 55386-9723
Mailing Address1405 78th StVictoria, MN 55386-9723 · (952) 443-2994 · Fax (952) 443-2918
Phone(952) 443-2994
Fax(952) 443-2918
Sole ProprietorYes
Enumeration DateSeptember 17, 2012
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1104176163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D13156
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1405 78TH ST, Victoria, MN 55386
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew Paul Green D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55386 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREW MICHAEL HAWKINS DC, CAC
Chiropractor
1405 78TH ST
VICTORIA, MN 55386
Carver County (952) 443-0015
BRUCE A. BAKER, D.D.S., P.A.
Dentist (General Practice)
1405 78TH ST
VICTORIA, MN 55386
Carver County (952) 443-2994
DR. NATHANYL BRYAN BRODERS
Chiropractor
1405 78TH ST
VICTORIA, MN 55386
Carver County (952) 443-0015
MODERN DENTAL PROFESSIONALS MINNESOTA PC
Dentist (General Practice)
1405 78TH ST
VICTORIA, MN 55386
Carver County (952) 443-2994
ABC FAMILY CHIROPRACTIC, P.A.
Chiropractor
1405 78TH ST, SUITE 100
VICTORIA, MN 55386
Carver County (952) 443-3710
CARVER COUNTY CHIROPRACTIC COMPANY PLC
Chiropractor
1405 78TH ST
VICTORIA, MN 55386
Carver County (952) 443-0015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Green's NPI number?

The NPI number for Matthew Green is 1104176163. It was assigned to this individual provider in the NPPES registry on September 17, 2012.

Where is Matthew Green located?

Matthew Green practices at 1405 78th St, Victoria, MN 55386. The listed phone number is (952) 443-2994.

What is Matthew Green's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Matthew Green enrolled in Medicare?

Yes. Matthew Green is registered in the Medicare PECOS enrollment system.

What insurance does Matthew Green accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Matthew Green as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Green was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.