Dental
Willmar Dental Clinic
Willmar Dental Clinic was paid $382K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 43% of everything it billed.
33Billing provider infoWILLMAR DENTAL CLINIC
WILLMAR, MN 56201
WILLMAR, MN 56201
33aNPI1811033061assigned 01/29/2007
33bProvider typePublic Health Dentist
28Total paid$382K
24GClaims30,914
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Public Health Dentist providers in Minnesota
Rank by total paid#6 of 11
Median peer was paid$382K
This provider vs. median1.0×
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 | 1,958 | $26K | |
| 2019 | 3,730 | $50K | |
| 2020 | 3,097 | $47K | |
| 2021 | 4,312 | $58K | |
| 2022 | 6,589 | $67K | |
| 2023 | 6,557 | $71K | |
| 2024incomplete | 4,671 | $64K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 43% | 6,942 | 6,712 | $163K |
| D7140 | Extraction, erupted tooth or exposed root | 12% | 1,197 | 618 | $47K |
| D1206 | Topical application of fluoride varnish | 12% | 4,682 | 4,071 | $47K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 4,456 | 3,935 | $41K |
| D0274 | Bitewings - four radiographic images | 5.9% | 1,872 | 1,666 | $22K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.2% | 6,619 | 2,068 | $20K |
| D0140 | Limited oral evaluation - problem focused | 5.1% | 1,204 | 1,086 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 3,499 | 2,890 | $16K |
| D1354 | <1% | 297 | 171 | $3K | |
| D9920 | <1% | 99 | 85 | $2K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 28 | 15 | $974.97 |
| D2940 | <1% | 19 | 13 | $428.76 |
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 officialGLANCEY, LYNN (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Minnesota Specialty Health Systems-Wadena | Wadena, MN | $6.65M |
| Minnesota Specialty Health Systems-Brainerd | Brainerd, MN | $6.25M |
| Minnesota Speciality Health Systems Willmar | Willmar, MN | $5.56M |
| Community Addiction Recovery Enterprise Fergus Falls | Fergus Falls, MN | $4.56M |
| Community Addiction Recovery Enterprise Anoka | Anoka, MN | $2.67M |
| Community Addiction Recovery Enterprise Carlton | Carlton, MN | $2.16M |
| Special Care Dentistry Fergus Falls | Fergus Falls, MN | $382K |
| Central Lakes Community Dental Clinic | Brainerd, MN | $306K |
| Health Source Dental Clinic | Cambridge, MN | $286K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.