Clinic
Northland Smiles Corporation PA
Northland Smiles Corporation PA was paid $9.88M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 17% of everything it billed.
33Billing provider infoNORTHLAND SMILES CORPORATION PA
DEERWOOD, MN 56444
DEERWOOD, MN 56444
33aNPI1043567357assigned 08/07/2012
33bProvider typeClinic/Center
28Total paid$9.88M
24GClaims173,951
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Minnesota
Rank by total paid#6 of 250
Median peer was paid$274K
This provider vs. median36×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 36,111 | $424K | |
| 2019 | 38,262 | $2.37M | |
| 2020 | 17,500 | $1.10M | |
| 2021 | 21,260 | $1.46M | |
| 2022 | 19,380 | $1.46M | |
| 2023 | 21,093 | $1.52M | |
| 2024incomplete | 20,345 | $1.54M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 17% | 20,142 | 5,881 | $1.73M |
| D5110 | 9.0% | 1,048 | 1,028 | $892K | |
| D0330 | Panoramic radiographic image | 7.2% | 10,712 | 10,606 | $714K |
| D1110 | Prophylaxis - adult | 6.5% | 13,247 | 13,110 | $644K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6.5% | 5,327 | 2,612 | $641K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.0% | 6,404 | 3,839 | $492K |
| D0274 | Bitewings - four radiographic images | 5.0% | 13,831 | 13,691 | $490K |
| D5120 | 4.8% | 582 | 572 | $469K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.5% | 15,195 | 15,048 | $442K |
| D0140 | Limited oral evaluation - problem focused | 4.5% | 13,249 | 12,946 | $440K |
| D1206 | Topical application of fluoride varnish | 4.0% | 16,697 | 16,525 | $400K |
| D2160 | 2.6% | 2,779 | 1,917 | $261K |
24 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.6% | 3,083 | $259K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 7,046 | $252K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.4% | 3,569 | $240K |
| D2140 | 2.3% | 3,780 | $231K | |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 12,390 | $165K |
| D1120 | Dental cleaning, child | 1.6% | 4,662 | $154K |
| D2331 | 1.5% | 1,612 | $149K | |
| D2330 | 1.4% | 1,981 | $142K | |
| D2335 | 1.4% | 1,464 | $135K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.3% | 1,315 | $125K |
| D2332 | 1.1% | 1,144 | $109K | |
| D1351 | Sealant - per tooth | 1.1% | 4,291 | $108K |
| D0272 | Bitewings - two radiographic images | <1% | 2,403 | $63K |
| D2161 | <1% | 230 | $30K | |
| D1330 | <1% | 2,488 | $29K | |
| D2394 | <1% | 349 | $28K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,201 | $19K |
| D5212 | <1% | 25 | $14K | |
| D3320 | <1% | 43 | $7K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 480 | $6K |
| D4355 | <1% | 121 | $5K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 12 | $620.16 |
| D7240 | Removal of impacted tooth - completely bony | 0% | 36 | $0.00 |
| D3310 | 0% | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialDAMMEIER, KENDALL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Northland Smiles Little Falls, PA | Little Falls, MN | $4.53M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.