West Central Dental Resource, INC

West Central Dental Resource, INC was paid $10.41M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is D1110, Prophylaxis - adult — 12% of everything it billed.

33Billing provider infoWEST CENTRAL DENTAL RESOURCE, INC
ALEXANDRIA, MN 56308

33aNPI1295888246assigned 01/20/2007

33bProvider typeDentist

28Total paid$10.41M

24GClaims214,490

24DCodes billed41

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Dentist providers in Minnesota

Rank by total paid#1 of 192

Median peer was paid$9K

This provider vs. median1,135×

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	32,061	$295K
2019	33,852	$1.49M
2020	19,650	$1.11M
2021	28,708	$1.26M
2022	30,431	$1.97M
2023	31,844	$2.00M
2024incomplete	37,944	$2.28M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	12%	20,464	20,232	$1.29M
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	30,105	29,872	$1.27M
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	9.3%	9,018	6,324	$969K
D1206	Topical application of fluoride varnish	9.2%	28,762	28,503	$953K
D0274	Bitewings - four radiographic images	7.9%	16,934	16,767	$826K
D0330	Panoramic radiographic image	7.4%	7,945	7,802	$774K
D2391	Resin-based composite - one surface, posterior, primary or permanent	6.5%	8,330	5,594	$679K
D1120	Dental cleaning, childProphylaxis - child	6.5%	14,889	14,786	$674K
D7140	Extraction, erupted tooth or exposed root	3.2%	3,385	1,395	$334K
D0140	Limited oral evaluation - problem focused	3.0%	7,094	6,870	$317K
D0220	Intraoral - periapical first radiographic image	2.6%	14,948	14,330	$268K
D1351	Sealant - per tooth	2.5%	6,620	1,873	$264K

29 more codes

D0230	Intraoral - periapical each additional radiographic image	2.4%	20,389	$247K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	2.1%	1,852	$215K
D2331		2.1%	1,875	$215K
D1354		2.0%	4,714	$211K
D1330		1.8%	5,536	$188K
D2930	Prefabricated stainless steel crown - primary tooth	1.4%	755	$147K
D0272	Bitewings - two radiographic images	1.4%	3,647	$145K
D0150	Comprehensive oral evaluation - new or established patient	1.4%	2,413	$144K
D2330		<1%	799	$62K
D2150	Silver amalgam - two surfaces, primary or permanent	<1%	485	$43K
D1310		<1%	1,195	$40K
D2332		<1%	193	$23K
D2394		<1%	186	$19K
D7111		<1%	98	$14K
D2335		<1%	200	$13K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	<1%	467	$11K
D2160		<1%	89	$11K
D0145	Oral evaluation for a patient under three years of age	<1%	243	$11K
D9410		<1%	269	$6K
D2140		<1%	110	$5K
D9920		<1%	68	$5K
D0240		<1%	97	$4K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	<1%	21	$4K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	<1%	30	$4K
D4355		<1%	70	$3K
98960		<1%	158	$3K
D9110		<1%	12	$565.24
D9420		<1%	12	$534.22
D0383		0%	13	$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 officialOLSEN, MARY (COORDINATOR)