Blackduck Dental Clinic PSC

Blackduck Dental Clinic PSC was paid $56K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 55% of everything it billed.

33Billing provider infoBLACKDUCK DENTAL CLINIC PSC
BLACKDUCK, MN 56630

33aNPI1376814939assigned 01/13/2012

33bProvider typeGeneral Practice Dentistry

28Total paid$56K

24GClaims1,869

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Minnesota

Rank by total paid#138 of 368

Median peer was paid$19K

This provider vs. median2.9×

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	217	$1K
2019	278	$8K
2020	273	$8K
2021	221	$6K
2022	254	$9K
2023	381	$14K
2024incomplete	245	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	55%	1,122	1,113	$30K
D1110	Prophylaxis - adult	28%	385	382	$15K
D1120	Dental cleaning, childProphylaxis - child	6.6%	123	123	$4K
D1206	Topical application of fluoride varnish	5.6%	139	138	$3K
D0274	Bitewings - four radiographic images	5.4%	100	100	$3K

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 officialLARSON, SCOTT (PRESIDENT)