Dental
Windom Family Dentistry PLLC
Windom Family Dentistry PLLC was paid $64K by Medicaid between Jan 2022 and Dec 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.
33Billing provider infoWINDOM FAMILY DENTISTRY PLLC
WINDOM, MN 56101
WINDOM, MN 56101
33aNPI1215606355assigned 09/11/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$64K
24GClaims1,361
24DCodes billed9
24AFirst – last monthJan 2022 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#133 of 368
Median peer was paid$19K
This provider vs. median3.3×
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 | |
|---|---|---|---|
| 2022 | 191 | $8K | |
| 2023 | 696 | $32K | |
| 2024incomplete | 474 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 23% | 252 | 252 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 314 | 313 | $11K |
| D0330 | Panoramic radiographic image | 17% | 127 | 126 | $11K |
| D1206 | Topical application of fluoride varnish | 14% | 345 | 340 | $9K |
| D0274 | Bitewings - four radiographic images | 14% | 200 | 200 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.9% | 56 | 27 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 2.1% | 13 | 13 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 26 | 26 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.0% | 28 | 28 | $1K |
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 officialKARELS, BRANDON (OWNER)