Willmar Family Dentistry, PA

Willmar Family Dentistry, PA was paid $1K by Medicaid between May 2018 and Dec 2019, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 43% of everything it billed.

33Billing provider infoWILLMAR FAMILY DENTISTRY, PA
WILLMAR, MN 56201

33aNPI1376615450assigned 11/14/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$1K

24GClaims66

24DCodes billed3

24AFirst – last monthMay 2018 – Dec 2019

Compared with peers

Next to other General Practice Dentistry providers in Minnesota

Rank by total paid#289 of 368

Median peer was paid$19K

This provider vs. median0.1×

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	24	$0.00
2019	42	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	43%	12	12	$483.12
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	33%	40	39	$368.15
D1206	Topical application of fluoride varnish	24%	14	13	$275.94

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 officialJORGENSON, PETER (C.E.O.)