Clinic
Great River Dentistry of Bemidji, PLLC
Great River Dentistry of Bemidji, PLLC was paid $2K by Medicaid between Apr 2018 and Apr 2024, across 3 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 65% of everything it billed.
33Billing provider infoGREAT RIVER DENTISTRY OF BEMIDJI, PLLC
BEMIDJI, MN 56601
BEMIDJI, MN 56601
33aNPI1982156147assigned 11/03/2016
33bProvider typeDental Clinic/Center
28Total paid$2K
24GClaims245
24DCodes billed3
24AFirst – last monthApr 2018 – Apr 2024
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#126 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 | |
|---|---|---|---|
| 2018 | 28 | $16.44 | |
| 2019 | 12 | $195.12 | |
| 2020 | 12 | $0.00 | |
| 2021 | 133 | $232.64 | |
| 2022 | 26 | $649.06 | |
| 2024incomplete | 34 | $757.16 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 65% | 69 | 64 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 35% | 43 | 39 | $653.17 |
| D1999 | 0% | 133 | 116 | $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 officialWILLIAMS-FURFARO, BARET (OWNER DDS)