Chisholm Dental Service PA

Chisholm Dental Service PA was paid $692.54 by Medicaid between Apr 2018 and Oct 2020, across 1 billing code. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.

33Billing provider infoCHISHOLM DENTAL SERVICE PA
CHISHOLM, MN 55719

33aNPI1396807012assigned 12/16/2006

33bProvider typeDental Clinic/Center

28Total paid$692.54

24GClaims42

24DCodes billed1

24AFirst – last monthApr 2018 – Oct 2020

Compared with peers

Next to other Dental Clinic/Center providers in Minnesota

Rank by total paid#135 of 148

Median peer was paid$70K

This provider vs. median0.0×

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	14	$0.00
2019	13	$349.53
2020	15	$343.01

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	100%	42	42	$692.54

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 officialSWENNES, HAROLD (DENTIST)