Clinic
Mississippi Headwaters Area Dental Health Center, INC.
Mississippi Headwaters Area Dental Health Center, INC. was paid $1.08M by Medicaid between Jan 2019 and Oct 2024, across 24 billing codes. Its largest line is D0330, Panoramic radiographic image — 15% of everything it billed.
33Billing provider infoMISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER, INC.
HALSTAD, MN 56548
HALSTAD, MN 56548
33aNPI1669949442assigned 10/30/2018
33bProvider typeDental Clinic/Center
28Total paid$1.08M
24GClaims24,763
24DCodes billed24
24AFirst – last monthJan 2019 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#34 of 148
Median peer was paid$70K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2019 | 1,779 | $71K | |
| 2020 | 2,569 | $73K | |
| 2021 | 4,815 | $168K | |
| 2022 | 4,596 | $213K | |
| 2023 | 4,532 | $221K | |
| 2024incomplete | 6,472 | $334K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 15% | 2,015 | 1,907 | $159K |
| D1110 | Prophylaxis - adult | 12% | 2,155 | 2,086 | $133K |
| D7140 | Extraction, erupted tooth or exposed root | 12% | 1,281 | 442 | $133K |
| D1206 | Topical application of fluoride varnish | 9.5% | 3,381 | 3,266 | $103K |
| D0274 | Bitewings - four radiographic images | 8.1% | 2,051 | 1,986 | $88K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.0% | 2,157 | 2,142 | $87K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.8% | 1,979 | 1,865 | $85K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.1% | 1,540 | 1,515 | $66K |
| D0140 | Limited oral evaluation - problem focused | 5.4% | 1,508 | 1,360 | $58K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.8% | 299 | 195 | $31K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 1,467 | 1,392 | $24K |
| D1330 | 2.0% | 604 | 594 | $22K |
12 more codes
| D0272 | Bitewings - two radiographic images | 1.9% | 589 | $21K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.4% | 703 | $15K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.0% | 96 | $11K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 99 | $10K |
| D1354 | <1% | 338 | $9K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 712 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 65 | $5K |
| D2160 | <1% | 32 | $4K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 21 | $3K |
| D2335 | <1% | 20 | $3K | |
| D1351 | Sealant - per tooth | <1% | 98 | $3K |
| D1999 | <1% | 1,553 | $41.10 |
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 officialLUNDBERG, ERICA (DIRECTOR OF OPERATIONS)
Parent organizationMISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER
| Provider | Location | Paid |
|---|---|---|
| Mississippi Headwaters Area Dental Health Center, INC. | Bagley, MN | $463K |
| Mississippi Headwaters Area Dental Health Center, INC. | Park Rapids, MN | $341K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.