Deer River Dental Clinic

Deer River Dental Clinic was paid $229K by Medicaid between Aug 2019 and Nov 2024, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 27% of everything it billed.

33Billing provider infoDEER RIVER DENTAL CLINIC
DEER RIVER, MN 56636

33aNPI1417464157assigned 01/03/2018

33bProvider typeEndodontist

28Total paid$229K

24GClaims4,204

24DCodes billed12

24AFirst – last monthAug 2019 – Nov 2024

Compared with peers

Next to other Endodontist providers in Minnesota

Rank by total paid#9 of 14

Median peer was paid$237K

This provider vs. median1.0×

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
2019	338	$20K
2020	383	$20K
2021	778	$47K
2022	648	$36K
2023	1,184	$64K
2024incomplete	873	$43K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	27%	1,547	1,519	$62K
D2150	Silver amalgam - two surfaces, primary or permanent	22%	432	219	$51K
D1110	Prophylaxis - adult	21%	647	636	$49K
D1120	Dental cleaning, childProphylaxis - child	12%	486	479	$27K
D0274	Bitewings - four radiographic images	8.0%	350	345	$18K
D1206	Topical application of fluoride varnish	2.9%	234	230	$7K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	2.2%	236	201	$5K
D0330	Panoramic radiographic image	1.5%	41	40	$3K
D0140	Limited oral evaluation - problem focused	1.2%	71	67	$3K
D0220	Intraoral - periapical first radiographic image	<1%	115	108	$2K
D9986		<1%	33	30	$640.00
D0272	Bitewings - two radiographic images	<1%	12	12	$416.02

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 officialCCARTER, JEFFREY (DENTIST/OWNER)