Dental
Dental Health Service of Northern Minnesota PA
Dental Health Service of Northern Minnesota PA was paid $90K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 48% of everything it billed.
33Billing provider infoDENTAL HEALTH SERVICE OF NORTHERN MINNESOTA PA
HIBBING, MN 55746
HIBBING, MN 55746
33aNPI1518086750assigned 03/28/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$90K
24GClaims2,948
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#120 of 368
Median peer was paid$19K
This provider vs. median4.7×
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 | 334 | $751.77 | |
| 2019 | 317 | $9K | |
| 2020 | 223 | $6K | |
| 2021 | 263 | $7K | |
| 2022 | 323 | $12K | |
| 2023 | 731 | $27K | |
| 2024incomplete | 757 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 48% | 1,013 | 997 | $43K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 38% | 1,472 | 1,467 | $34K |
| D0274 | Bitewings - four radiographic images | 7.3% | 195 | 194 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.4% | 119 | 119 | $3K |
| D1206 | Topical application of fluoride varnish | 2.9% | 135 | 135 | $3K |
| D0330 | Panoramic radiographic image | <1% | 14 | 13 | $616.38 |
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 officialPEDERSEN, NATHAN (CEO)