Dental
Great River Endodontics, PA
Great River Endodontics, PA was paid $325K by Medicaid between Jan 2018 and Jan 2022, across 7 billing codes. Its largest line is D3330, Endodontic therapy, molar tooth (excluding final restoration) — 58% of everything it billed.
33Billing provider infoGREAT RIVER ENDODONTICS, PA
SAINT CLOUD, MN 56301
SAINT CLOUD, MN 56301
33aNPI1861708828assigned 08/27/2010
33bProvider typeEndodontist
28Total paid$325K
24GClaims3,703
24DCodes billed7
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers
Next to other Endodontist providers in Minnesota
Rank by total paid#6 of 14
Median peer was paid$237K
This provider vs. median1.4×
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 | 414 | $2K | |
| 2019 | 269 | $11K | |
| 2020 | 1,058 | $103K | |
| 2021 | 1,888 | $184K | |
| 2022 | 74 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 58% | 181 | 172 | $187K |
| D0140 | Limited oral evaluation - problem focused | 20% | 1,251 | 1,204 | $65K |
| D3320 | 11% | 37 | 33 | $34K | |
| D0220 | Intraoral - periapical first radiographic image | 7.7% | 1,264 | 1,202 | $25K |
| D3310 | 3.9% | 17 | 14 | $13K | |
| D9985 | 0% | 925 | 834 | $0.00 | |
| D0270 | 0% | 28 | 28 | $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 officialKARN, THOMAS (OWNER/PRESIDENT)