Dental
Health Source Dental Clinic
Health Source Dental Clinic was paid $286K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 47% of everything it billed.
33Billing provider infoHEALTH SOURCE DENTAL CLINIC
CAMBRIDGE, MN 55008
CAMBRIDGE, MN 55008
33aNPI1508962994assigned 09/15/2006
33bProvider typePublic Health Dentist
28Total paid$286K
24GClaims21,901
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Public Health Dentist providers in Minnesota
Rank by total paid#9 of 11
Median peer was paid$382K
This provider vs. median0.7×
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 | 4,202 | $42K | |
| 2019 | 4,567 | $65K | |
| 2020 | 2,615 | $37K | |
| 2021 | 3,251 | $42K | |
| 2022 | 2,771 | $37K | |
| 2023 | 1,741 | $25K | |
| 2024incomplete | 2,754 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 47% | 6,022 | 5,823 | $135K |
| D1206 | Topical application of fluoride varnish | 12% | 2,990 | 2,739 | $34K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 3,483 | 3,268 | $31K |
| D9920 | 9.0% | 1,156 | 1,008 | $26K | |
| D0274 | Bitewings - four radiographic images | 6.6% | 1,368 | 1,252 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 4.5% | 2,482 | 2,282 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.3% | 3,513 | 1,683 | $12K |
| D0140 | Limited oral evaluation - problem focused | 4.0% | 734 | 699 | $11K |
| D0330 | Panoramic radiographic image | <1% | 57 | 50 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 32 | 25 | $1K |
| D2330 | <1% | 19 | 13 | $706.48 | |
| D2331 | <1% | 14 | 12 | $697.62 |
2 more codes
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 officialGLANCEY, LYNN (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Minnesota Specialty Health Systems-Wadena | Wadena, MN | $6.65M |
| Minnesota Specialty Health Systems-Brainerd | Brainerd, MN | $6.25M |
| Minnesota Speciality Health Systems Willmar | Willmar, MN | $5.56M |
| Community Addiction Recovery Enterprise Fergus Falls | Fergus Falls, MN | $4.56M |
| Community Addiction Recovery Enterprise Anoka | Anoka, MN | $2.67M |
| Community Addiction Recovery Enterprise Carlton | Carlton, MN | $2.16M |
| Special Care Dentistry Fergus Falls | Fergus Falls, MN | $382K |
| Willmar Dental Clinic | Willmar, MN | $382K |
| Central Lakes Community Dental Clinic | Brainerd, MN | $306K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.