North Shore Family Dental

North Shore Family Dental was paid $38K by Medicaid between Jan 2018 and Jun 2024, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 61% of everything it billed.

33Billing provider infoNORTH SHORE FAMILY DENTAL
DULUTH, MN 55812

33aNPI1508074485assigned 05/21/2007

33bProvider typeDentist

28Total paid$38K

24GClaims1,101

24DCodes billed5

24AFirst – last monthJan 2018 – Jun 2024

Compared with peers

Next to other Dentist providers in Minnesota

Rank by total paid#70 of 192

Median peer was paid$9K

This provider vs. median4.1×

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	50	$0.00
2019	80	$2K
2020	93	$3K
2021	130	$4K
2022	271	$10K
2023	372	$14K
2024incomplete	105	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	61%	502	489	$23K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	24%	409	390	$9K
D0274	Bitewings - four radiographic images	13%	152	144	$5K
D1206	Topical application of fluoride varnish	<1%	12	12	$363.55
D0220	Intraoral - periapical first radiographic image	<1%	26	24	$355.83

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 officialHAWORTH, CALVIN (DENTIST)