Dental
Grand Marais Family Dentistry
Grand Marais Family Dentistry was paid $608K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 29% of everything it billed.
33Billing provider infoGRAND MARAIS FAMILY DENTISTRY
GRAND MARAIS, MN 55604
GRAND MARAIS, MN 55604
33aNPI1518391010assigned 09/03/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$608K
24GClaims11,975
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#69 of 368
Median peer was paid$19K
This provider vs. median32×
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 | 1,422 | $5K | |
| 2019 | 1,430 | $56K | |
| 2020 | 1,103 | $31K | |
| 2021 | 1,796 | $104K | |
| 2022 | 1,980 | $133K | |
| 2023 | 2,253 | $140K | |
| 2024incomplete | 1,991 | $140K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 29% | 836 | 836 | $177K |
| D1110 | Prophylaxis - adult | 22% | 2,444 | 2,432 | $136K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 3,552 | 3,535 | $116K |
| D1206 | Topical application of fluoride varnish | 7.5% | 1,837 | 1,823 | $46K |
| D0274 | Bitewings - four radiographic images | 7.5% | 1,191 | 1,187 | $46K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.6% | 1,100 | 1,094 | $40K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.9% | 208 | 122 | $17K |
| D0140 | Limited oral evaluation - problem focused | 2.3% | 480 | 468 | $14K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 156 | 92 | $9K |
| D0330 | Panoramic radiographic image | <1% | 41 | 41 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 67 | 67 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 40 | 24 | $2K |
1 more codes
| D9410 | <1% | 23 | $879.12 |
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 officialHEDSTROM, ALYSSA (PRESIDENT)