Dental
Mississippi Headwaters Area Dental Health Center, INC.
Mississippi Headwaters Area Dental Health Center, INC. was paid $341K by Medicaid between May 2024 and Dec 2024, across 18 billing codes. Its largest line is D0120, dental checkup, returning patient — 15% of everything it billed.
33Billing provider infoMISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER, INC.
PARK RAPIDS, MN 56470
PARK RAPIDS, MN 56470
33aNPI1457101974assigned 03/26/2024
33bProvider typePublic Health Dentist
28Total paid$341K
24GClaims6,953
24DCodes billed18
24AFirst – last monthMay 2024 – Dec 2024
Compared with peers
Next to other Public Health Dentist providers in Minnesota
Rank by total paid#7 of 11
Median peer was paid$382K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2024incomplete | 6,953 | $341K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 1,269 | 1,252 | $52K |
| D1110 | Prophylaxis - adult | 15% | 767 | 752 | $50K |
| D0274 | Bitewings - four radiographic images | 11% | 752 | 745 | $38K |
| D1330 | 11% | 1,004 | 992 | $37K | |
| D1206 | Topical application of fluoride varnish | 9.8% | 982 | 964 | $33K |
| D0330 | Panoramic radiographic image | 9.0% | 344 | 334 | $31K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.8% | 583 | 574 | $26K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.6% | 250 | 175 | $26K |
| D1351 | Sealant - per tooth | 2.9% | 238 | 76 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.6% | 111 | 91 | $9K |
| D0140 | Limited oral evaluation - problem focused | 2.4% | 198 | 186 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 138 | 135 | $7K |
6 more codes
| D7140 | Extraction, erupted tooth or exposed root | 1.3% | 42 | $4K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 23 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 92 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 115 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 14 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 31 | $1K |
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 officialLUNDBERG, ERICA (DIRECTOR OF FINANCE AND OPERATIONS)
Parent organizationMISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER
| Provider | Location | Paid |
|---|---|---|
| Mississippi Headwaters Area Dental Health Center, INC. | Halstad, MN | $1.08M |
| Mississippi Headwaters Area Dental Health Center, INC. | Bagley, MN | $463K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.