Dental
North Country Dental Service
North Country Dental Service was paid $13K by Medicaid between Jan 2018 and Aug 2024, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 82% of everything it billed.
33Billing provider infoNORTH COUNTRY DENTAL SERVICE
BEMIDJI, MN 56601
BEMIDJI, MN 56601
33aNPI1225204704assigned 05/05/2008
33bProvider typeDentist
28Total paid$13K
24GClaims624
24DCodes billed4
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Dentist providers in Minnesota
Rank by total paid#86 of 192
Median peer was paid$9K
This provider vs. median1.4×
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 | 123 | $0.00 | |
| 2019 | 141 | $3K | |
| 2020 | 41 | $724.64 | |
| 2021 | 63 | $1K | |
| 2022 | 104 | $3K | |
| 2023 | 114 | $4K | |
| 2024incomplete | 38 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 82% | 501 | 499 | $11K |
| D1110 | Prophylaxis - adult | 8.8% | 60 | 58 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.9% | 47 | 47 | $895.98 |
| D1208 | Topical application of fluoride, excluding varnish | 2.0% | 16 | 16 | $259.52 |
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 officialLUETH, JOHN (DENTIST)