Clinic
Lake Superior Community Health Center
Lake Superior Community Health Center was paid $2.69M by Medicaid between Aug 2020 and Dec 2024, across 23 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 42% of everything it billed.
33Billing provider infoLAKE SUPERIOR COMMUNITY HEALTH CENTER
CARLTON, MN 55718
CARLTON, MN 55718
33aNPI1760013700assigned 01/29/2020
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.69M
24GClaims21,986
24DCodes billed23
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Minnesota
Rank by total paid#16 of 42
Median peer was paid$1.18M
This provider vs. median2.3×
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 | 604 | $85K | |
| 2021 | 5,813 | $741K | |
| 2022 | 3,520 | $533K | |
| 2023 | 6,096 | $712K | |
| 2024incomplete | 5,953 | $624K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 42% | 3,489 | 3,219 | $1.12M |
| D0150 | Comprehensive oral evaluation - new or established patient | 22% | 1,843 | 1,747 | $595K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 801 | 762 | $280K |
| D5899 | 7.0% | 750 | 561 | $188K | |
| D7140 | Extraction, erupted tooth or exposed root | 6.5% | 1,333 | 859 | $176K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.0% | 537 | 428 | $107K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.1% | 354 | 282 | $83K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 284 | 213 | $49K |
| D2140 | 1.5% | 171 | 136 | $42K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 138 | 37 | $23K |
| D2331 | <1% | 91 | 75 | $16K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 35 | 32 | $8K |
11 more codes
| D2330 | <1% | 35 | $6K | |
| D2332 | <1% | 20 | $1K | |
| D1110 | Prophylaxis - adult | <1% | 2,062 | $83.02 |
| D0274 | Bitewings - four radiographic images | <1% | 1,883 | $32.29 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,493 | $24.14 |
| D1206 | Topical application of fluoride varnish | <1% | 752 | $16.11 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,274 | $8.03 |
| D0330 | Panoramic radiographic image | 0% | 1,353 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 58 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 214 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 16 | $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 officialHOMAN, LEE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Lake Superior Community Health Center | Duluth, MN | $13.75M |
| Lake Superior Community Health Center | Superior, WI | $4.16M |
| Lake Superior Community Health Center | Duluth, MN | $1.60M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.