Clinic
Worthington Family Dental
Worthington Family Dental was paid $2K by Medicaid between Apr 2021 and Apr 2021, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 43% of everything it billed.
33Billing provider infoWORTHINGTON FAMILY DENTAL
WORTHINGTON, MN 56187
WORTHINGTON, MN 56187
33aNPI1942887823assigned 03/26/2021
33bProvider typeDental Clinic/Center
28Total paid$2K
24GClaims65
24DCodes billed3
24AFirst – last monthApr 2021 – Apr 2021
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#129 of 148
Median peer was paid$70K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 65 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 43% | 25 | 25 | $676.23 |
| D1206 | Topical application of fluoride varnish | 30% | 24 | 24 | $469.76 |
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 16 | 16 | $420.50 |
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 officialGROSSMAN, TRACY (OWNER/DENTIST)