Dental
Northside Minnesota Oral and Maxillofacial Surgeons
Northside Minnesota Oral and Maxillofacial Surgeons was paid $3.92M by Medicaid between Feb 2018 and Dec 2024, across 13 billing codes. Its largest line is D9243, — 31% of everything it billed.
33Billing provider infoNORTHSIDE MINNESOTA ORAL AND MAXILLOFACIAL SURGEONS
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
33aNPI1336337526assigned 10/12/2007
33bProvider typeDentist
28Total paid$3.92M
24GClaims20,260
24DCodes billed13
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Minnesota
Rank by total paid#8 of 192
Median peer was paid$9K
This provider vs. median427×
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 | 1,515 | $18K | |
| 2019 | 1,108 | $64K | |
| 2020 | 2,186 | $368K | |
| 2021 | 3,688 | $687K | |
| 2022 | 3,863 | $936K | |
| 2023 | 3,840 | $880K | |
| 2024incomplete | 4,060 | $965K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9243 | 31% | 4,232 | 1,516 | $1.22M | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 17% | 2,218 | 669 | $653K |
| D9239 | 15% | 1,527 | 1,501 | $573K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 13% | 4,852 | 2,129 | $525K |
| D7240 | Removal of impacted tooth - completely bony | 10% | 1,511 | 752 | $399K |
| D9222 | 5.8% | 658 | 643 | $227K | |
| D0140 | Limited oral evaluation - problem focused | 3.6% | 4,673 | 4,636 | $141K |
| D0367 | 2.1% | 53 | 53 | $82K | |
| D7953 | 1.2% | 66 | 29 | $47K | |
| D7250 | <1% | 146 | 56 | $23K | |
| D7230 | <1% | 91 | 69 | $14K | |
| D0330 | Panoramic radiographic image | <1% | 128 | 128 | $10K |
1 more codes
| D7140 | Extraction, erupted tooth or exposed root | <1% | 105 | $95.78 |
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 officialEL DEEB, MOHAMED (DOCTOR/PRESIDENT)