Northwoods Dentistry PLLC

Northwoods Dentistry PLLC was paid $127K by Medicaid between Nov 2020 and Nov 2024, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 39% of everything it billed.

33Billing provider infoNORTHWOODS DENTISTRY PLLC
GRAND RAPIDS, MN 55744

33aNPI1730792334assigned 08/25/2020

33bProvider typeGeneral Practice Dentistry

28Total paid$127K

24GClaims2,911

24DCodes billed9

24AFirst – last monthNov 2020 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in Minnesota

Rank by total paid#110 of 368

Median peer was paid$19K

This provider vs. median6.6×

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
2020	82	$3K
2021	858	$41K
2022	647	$29K
2023	691	$30K
2024incomplete	633	$25K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	39%	1,200	1,177	$49K
D1110	Prophylaxis - adult	27%	426	419	$35K
D1206	Topical application of fluoride varnish	19%	867	850	$25K
D0274	Bitewings - four radiographic images	6.3%	158	153	$8K
D1120	Dental cleaning, childProphylaxis - child	4.5%	97	95	$6K
D0140	Limited oral evaluation - problem focused	1.7%	51	50	$2K
D0220	Intraoral - periapical first radiographic image	1.2%	86	82	$1K
D0330	Panoramic radiographic image	<1%	13	13	$991.56
D9986		<1%	13	13	$260.00

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 officialBUCHERT, SPENCER (OWNER)