Bemidji Dental Clinic

Bemidji Dental Clinic was paid $12K by Medicaid between Jan 2018 and Jun 2022, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 62% of everything it billed.

33Billing provider infoBEMIDJI DENTAL CLINIC
BEMIDJI, MN 56601

33aNPI1245321389assigned 09/27/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$12K

24GClaims1,757

24DCodes billed8

24AFirst – last monthJan 2018 – Jun 2022

Compared with peers

Next to other General Practice Dentistry providers in Minnesota

Rank by total paid#207 of 368

Median peer was paid$19K

This provider vs. median0.6×

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	1,187	$1K
2019	218	$4K
2020	82	$1K
2021	215	$3K
2022	55	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	62%	698	691	$7K
D1110	Prophylaxis - adult	19%	244	243	$2K
D1206	Topical application of fluoride varnish	17%	304	304	$2K
D0274	Bitewings - four radiographic images	1.6%	104	103	$179.36
D0220	Intraoral - periapical first radiographic image	<1%	140	137	$19.14
D0230	Intraoral - periapical each additional radiographic image	<1%	152	76	$19.08
D1330		0%	74	74	$0.00
D1120	Dental cleaning, childProphylaxis - child	0%	41	41	$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 officialWELLNER, GEORGE (PRESIDENT)