Dental
Southern Minnesota Community Dental Clinic
Southern Minnesota Community Dental Clinic was paid $1.43M by Medicaid between Aug 2021 and Dec 2024, across 26 billing codes. Its largest line is D0330, Panoramic radiographic image — 11% of everything it billed.
33Billing provider infoSOUTHERN MINNESOTA COMMUNITY DENTAL CLINIC
WASECA, MN 56093
WASECA, MN 56093
33aNPI1285223339assigned 01/13/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$1.43M
24GClaims29,792
24DCodes billed26
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#49 of 368
Median peer was paid$19K
This provider vs. median75×
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 | 966 | $34K | |
| 2022 | 9,253 | $454K | |
| 2023 | 10,651 | $531K | |
| 2024incomplete | 8,922 | $415K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 11% | 1,635 | 1,632 | $161K |
| D0140 | Limited oral evaluation - problem focused | 8.2% | 2,615 | 2,536 | $118K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.7% | 2,681 | 2,680 | $110K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.8% | 895 | 491 | $97K |
| D1110 | Prophylaxis - adult | 6.7% | 1,387 | 1,387 | $96K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.6% | 7,104 | 2,672 | $94K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.4% | 1,097 | 580 | $92K |
| D0274 | Bitewings - four radiographic images | 6.4% | 1,938 | 1,935 | $92K |
| D7140 | Extraction, erupted tooth or exposed root | 6.1% | 744 | 226 | $87K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.0% | 797 | 406 | $87K |
| D1206 | Topical application of fluoride varnish | 5.9% | 2,380 | 2,379 | $85K |
| D0220 | Intraoral - periapical first radiographic image | 4.5% | 3,458 | 3,378 | $64K |
14 more codes
| D1120 | Dental cleaning, child | 3.2% | 954 | $46K |
| D2160 | 2.8% | 304 | $40K | |
| D2140 | 2.5% | 416 | $35K | |
| D2331 | 2.3% | 256 | $32K | |
| D2332 | 1.6% | 147 | $23K | |
| D2330 | 1.6% | 242 | $22K | |
| D0272 | Bitewings - two radiographic images | <1% | 231 | $10K |
| D0240 | <1% | 204 | $9K | |
| D2335 | <1% | 55 | $8K | |
| D4341 | <1% | 27 | $6K | |
| D1351 | Sealant - per tooth | <1% | 117 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 38 | $5K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 31 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 39 | $2K |
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 officialFISCHER, TODD (OWNER/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Fischer, Richards & Walker, PA | Jacksonville, NC | $269K |
| Fischer, Richards & Walker, PA | Morehead City, NC | $82K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.