NORTHLAND HEALTH PARTNERS COMMUNITY HEALTH CENTER

NPI: 1629481841 · MINOT, ND 58701 · Federally Qualified Health Center (FQHC) · NPI assigned 06/05/2014

$29K

Total Medicaid Paid

156

Total Claims

145

Beneficiaries

Codes Billed

2024-08

First Month

2024-11

Last Month

Provider Details

Authorized Official	THOMAS, RACHEL (CFO)
NPI Enumeration Date	06/05/2014

Other providers sharing the same authorized official: THOMAS, RACHEL

Provider	City	State	Total Paid
INTERNAL MEDICINE AND PEDIATRIC CLINIC OF NEW ALBANY, PLLC	NEW ALBANY	MS	$9.90M
RT MEDICAL LLC	OLD HICKORY	TN	$8.81M
NORTHLAND HEALTH PARTNERS COMMUNITY HEALTH CENTER	ROLETTE	ND	$564K
NORTHLAND HEALTH PARTNERS COMMUNITY HEALTH CENTER	TURTLE LAKE	ND	$481K
NORTHLAND HEALTH PARTNERS COMMUNITY HEALTH CENTER	MINOT	ND	$221K
NORTHLAND HEALTH PARTNERS COMMUNITY HEALTH CENTER	MINOT	ND	$146K
NORTHLAND HEALTH PARTNERS COMMUNITY HEALTH CENTER	ST JOHN	ND	$78K
NORTHLAND HEALTH PARTNERS COMMUNITY HEALTH CENTER	MCCLUSKY	ND	$59K
NORTHLAND HEALTH PARTNERS COMMUNITY HEALTH CENTER	ROLLA	ND	$9K
NORTHLAND HEALTH PARTNERS COMMUNITY HEALTH CENTER	BISMARCK	ND	$1K

Year	Claims	Total Paid
2024	156	$29K

Code	Description	Claims	Beneficiaries	Total Paid
D0120	Periodic oral evaluation - established patient	42	38	$15K
D1110	Prophylaxis - adult	49	46	$13K
D0274	Bitewings - four radiographic images	41	37	$1K
D1206	Topical application of fluoride varnish	24	24	$0.00