Dental
Great Lakes Childrens Dental Care PA
Great Lakes Childrens Dental Care PA was paid $785K by Medicaid between Jan 2018 and Sep 2024, across 18 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 24% of everything it billed.
33Billing provider infoGREAT LAKES CHILDRENS DENTAL CARE PA
DULUTH, MN 55811
DULUTH, MN 55811
33aNPI1790795821assigned 08/09/2006
33bProvider typePediatric Dentist
28Total paid$785K
24GClaims14,722
24DCodes billed18
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Pediatric Dentist providers in Minnesota
Rank by total paid#10 of 49
Median peer was paid$94K
This provider vs. median8.4×
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 | 2,015 | $59K | |
| 2019 | 1,553 | $69K | |
| 2020 | 969 | $43K | |
| 2021 | 2,601 | $144K | |
| 2022 | 2,576 | $148K | |
| 2023 | 3,494 | $229K | |
| 2024incomplete | 1,514 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 24% | 1,494 | 522 | $187K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 2,439 | 2,348 | $117K |
| D1206 | Topical application of fluoride varnish | 11% | 2,687 | 2,544 | $89K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 1,688 | 1,603 | $88K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 7.3% | 1,193 | 1,115 | $57K |
| D1110 | Prophylaxis - adult | 7.0% | 747 | 707 | $55K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.8% | 275 | 154 | $45K |
| D0272 | Bitewings - two radiographic images | 3.9% | 886 | 846 | $31K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 1,047 | 998 | $23K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.4% | 933 | 455 | $19K |
| D0274 | Bitewings - four radiographic images | 2.3% | 387 | 373 | $18K |
| D0330 | Panoramic radiographic image | 1.9% | 189 | 161 | $15K |
6 more codes
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 officialGUIRGUIS, RAMI (OWNER)