Clinic
West Range Dental PLLC
West Range Dental PLLC was paid $763.47 by Medicaid between Dec 2024 and Dec 2024, across 1 billing code. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.
33Billing provider infoWEST RANGE DENTAL PLLC
GRAND RAPIDS, MN 55744
GRAND RAPIDS, MN 55744
33aNPI1437978004assigned 10/09/2024
33bProvider typeDental Clinic/Center
28Total paid$763.47
24GClaims17
24DCodes billed1
24AFirst – last monthDec 2024 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#134 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 | |
|---|---|---|---|
| 2024incomplete | 17 | $763.47 |
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% | 17 | 17 | $763.47 |
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 officialHAMMER, KYLE (OWNER PRESIDENT)
Parent organizationKYLE HAMMER DDS PLLC
| Provider | Location | Paid |
|---|---|---|
| Kyle Hammer DDS PLLC | Duluth, MN | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.