MSCTC Community Dental Clinic

MSCTC Community Dental Clinic was paid $14K by Medicaid between Jan 2018 and Feb 2020, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 39% of everything it billed.

33Billing provider infoMSCTC COMMUNITY DENTAL CLINIC
MOORHEAD, MN 56560

33aNPI1548320112assigned 12/12/2006

33bProvider typePublic Health Dentist

28Total paid$14K

24GClaims1,381

24DCodes billed8

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other Public Health Dentist providers in Minnesota

Rank by total paid#11 of 11

Median peer was paid$382K

This provider vs. median0.0×

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	651	$2K
2019	560	$9K
2020	170	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	39%	275	268	$6K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	16%	197	194	$2K
D1206	Topical application of fluoride varnish	15%	263	258	$2K
D0274	Bitewings - four radiographic images	14%	90	87	$2K
D1330		12%	468	426	$2K
D1120	Dental cleaning, childProphylaxis - child	2.2%	12	12	$318.60
D0210	Intraoral - complete series of radiographic images	1.5%	39	39	$216.60
D0150	Comprehensive oral evaluation - new or established patient	0%	37	37	$0.00

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 officialBOE, THOMAS (DIRECTOR DENTAL DEPARTMENT)