Dental
Sjulson Family Dentistry
Sjulson Family Dentistry was paid $6K by Medicaid between Mar 2021 and Apr 2022, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 35% of everything it billed.
33Billing provider infoSJULSON FAMILY DENTISTRY
FOSSTON, MN 56542
FOSSTON, MN 56542
33aNPI1124386099assigned 04/30/2012
33bProvider typeDentist
28Total paid$6K
24GClaims220
24DCodes billed6
24AFirst – last monthMar 2021 – Apr 2022
Compared with peers
Next to other Dentist providers in Minnesota
Rank by total paid#111 of 192
Median peer was paid$9K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2021 | 105 | $2K | |
| 2022 | 115 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 35% | 52 | 52 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 30% | 68 | 68 | $2K |
| D1206 | Topical application of fluoride varnish | 15% | 54 | 54 | $912.83 |
| D0274 | Bitewings - four radiographic images | 12% | 17 | 17 | $712.23 |
| D1120 | Dental cleaning, childProphylaxis - child | 4.7% | 13 | 13 | $289.25 |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 16 | 15 | $266.36 |
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 officialSJULSON, ROGER (DENTIST)