Clinic
Al Shifa Dentistry PA
Al Shifa Dentistry PA was paid $18.33M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is D1110, Prophylaxis - adult — 10% of everything it billed.
33Billing provider infoAL SHIFA DENTISTRY PA
MAPLE GROVE, MN 55369
MAPLE GROVE, MN 55369
33aNPI1760703151assigned 06/19/2010
33bProvider typeDental Clinic/Center
28Total paid$18.33M
24GClaims393,279
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#2 of 148
Median peer was paid$70K
This provider vs. median261×
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 | |
|---|---|---|---|
| 2018 | 49,734 | $338K | |
| 2019 | 59,168 | $2.53M | |
| 2020 | 44,276 | $1.80M | |
| 2021 | 54,881 | $2.28M | |
| 2022 | 57,780 | $3.38M | |
| 2023 | 59,084 | $3.31M | |
| 2024incomplete | 68,356 | $4.70M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 10% | 36,636 | 36,460 | $1.88M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.7% | 57,666 | 57,347 | $1.78M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.4% | 23,344 | 13,102 | $1.72M |
| D2722 | 7.0% | 1,343 | 911 | $1.28M | |
| D0274 | Bitewings - four radiographic images | 6.7% | 35,020 | 34,849 | $1.23M |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.0% | 18,813 | 10,524 | $1.09M |
| D1351 | Sealant - per tooth | 4.9% | 27,415 | 8,234 | $893K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.2% | 8,546 | 5,195 | $772K |
| D7140 | Extraction, erupted tooth or exposed root | 4.1% | 9,099 | 5,484 | $756K |
| D1206 | Topical application of fluoride varnish | 4.0% | 27,816 | 27,717 | $740K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.0% | 20,537 | 20,472 | $730K |
| D2332 | 3.6% | 6,092 | 3,773 | $652K |
31 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.5% | 5,284 | $466K |
| D3320 | 2.4% | 1,274 | $448K | |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 26,322 | $356K |
| D0272 | Bitewings - two radiographic images | 1.9% | 11,140 | $348K |
| D2160 | 1.7% | 2,969 | $318K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.7% | 33,945 | $310K |
| D2140 | 1.7% | 4,485 | $310K | |
| D2335 | 1.6% | 2,781 | $298K | |
| D2330 | 1.3% | 3,924 | $242K | |
| D0330 | Panoramic radiographic image | 1.3% | 4,667 | $241K |
| D7111 | 1.3% | 2,454 | $230K | |
| D1330 | 1.2% | 6,121 | $222K | |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 6,389 | $211K |
| D2331 | 1.1% | 2,288 | $193K | |
| D3310 | 1.0% | 740 | $185K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 599 | $74K |
| D2394 | <1% | 577 | $55K | |
| D2161 | <1% | 420 | $51K | |
| D5214 | <1% | 66 | $47K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,794 | $46K |
| D9944 | <1% | 60 | $37K | |
| D4355 | <1% | 1,057 | $31K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 29 | $20K |
| D5225 | <1% | 13 | $18K | |
| D5226 | <1% | 12 | $17K | |
| D5213 | <1% | 12 | $12K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 311 | $9K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 141 | $6K |
| D0270 | <1% | 50 | $363.48 | |
| D0273 | 0% | 12 | $0.00 | |
| D9996 | 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 officialLATIF, NASIR (PRESIDENT)