Clinic
Wilcox Family Dentistry
Wilcox Family Dentistry was paid $5K by Medicaid between Dec 2019 and Dec 2022, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 53% of everything it billed.
33Billing provider infoWILCOX FAMILY DENTISTRY
SAUK RAPIDS, MN 56379
SAUK RAPIDS, MN 56379
33aNPI1710546502assigned 06/06/2019
33bProvider typeDental Clinic/Center
28Total paid$5K
24GClaims166
24DCodes billed2
24AFirst – last monthDec 2019 – Dec 2022
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#110 of 148
Median peer was paid$70K
This provider vs. median0.1×
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 | 15 | $325.29 | |
| 2020 | 53 | $1K | |
| 2021 | 72 | $2K | |
| 2022 | 26 | $981.20 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 53% | 66 | 66 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 47% | 100 | 100 | $2K |
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 officialWILCOX, ANDREW (OWNER/DENTIST)