Clinic
Sanford Health Network
Sanford Health Network was paid $1.59M by Medicaid between Mar 2018 and Dec 2024, across 16 billing codes. Its largest line is D0120, dental checkup, returning patient — 72% of everything it billed.
33Billing provider infoSANFORD HEALTH NETWORK
CANBY, MN 56220
CANBY, MN 56220
33aNPI1134271703assigned 01/17/2007
33bProvider typeDental Clinic/Center
28Total paid$1.59M
24GClaims26,164
24DCodes billed16
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#30 of 148
Median peer was paid$70K
This provider vs. median23×
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 | 736 | $44K | |
| 2019 | 1,809 | $70K | |
| 2020 | 2,218 | $121K | |
| 2021 | 5,260 | $270K | |
| 2022 | 3,873 | $286K | |
| 2023 | 6,051 | $393K | |
| 2024incomplete | 6,217 | $409K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 72% | 4,527 | 3,329 | $1.15M |
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 1,281 | 1,045 | $292K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.9% | 644 | 244 | $110K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.9% | 195 | 68 | $30K |
| D1206 | Topical application of fluoride varnish | <1% | 5,541 | 4,277 | $7K |
| D1110 | Prophylaxis - adult | <1% | 1,657 | 1,202 | $676.67 |
| D0274 | Bitewings - four radiographic images | <1% | 1,411 | 966 | $516.80 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 3,343 | 2,490 | $279.58 |
| D1351 | Sealant - per tooth | <1% | 3,035 | 451 | $263.76 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,232 | 890 | $123.70 |
| D0272 | Bitewings - two radiographic images | <1% | 1,175 | 816 | $98.45 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 816 | 333 | $26.22 |
4 more codes
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 officialLOFF, THOMAS (VP FINANCE)