Dental
Southside Community Health Services, INC.
Southside Community Health Services, INC. was paid $9.09M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is D0120, dental checkup, returning patient — 27% of everything it billed.
33Billing provider infoSOUTHSIDE COMMUNITY HEALTH SERVICES, INC.
MINNEAPOLIS, MN 55409
MINNEAPOLIS, MN 55409
33aNPI1992822290assigned 03/23/2007
33bProvider typeDentist
28Total paid$9.09M
24GClaims141,258
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Minnesota
Rank by total paid#2 of 192
Median peer was paid$9K
This provider vs. median992×
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 | 30,675 | $1.02M | |
| 2019 | 21,567 | $1.12M | |
| 2020 | 10,317 | $865K | |
| 2021 | 15,685 | $1.36M | |
| 2022 | 19,980 | $1.45M | |
| 2023 | 22,501 | $1.60M | |
| 2024incomplete | 20,533 | $1.69M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 12,308 | 11,988 | $2.42M |
| D0140 | Limited oral evaluation - problem focused | 24% | 14,230 | 13,417 | $2.19M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 8,275 | 5,757 | $1.22M |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 5,383 | 5,252 | $951K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.0% | 8,025 | 5,268 | $820K |
| D7140 | Extraction, erupted tooth or exposed root | 8.9% | 6,008 | 3,910 | $809K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.2% | 974 | 861 | $199K |
| D1354 | 1.9% | 4,546 | 1,186 | $177K | |
| D2331 | <1% | 616 | 443 | $58K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 183 | 170 | $47K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 497 | 381 | $44K |
| D2330 | <1% | 751 | 517 | $42K |
27 more codes
| D5899 | <1% | 551 | $35K | |
| D2335 | <1% | 136 | $28K | |
| D2140 | <1% | 481 | $23K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 109 | $16K |
| D2394 | <1% | 28 | $6K | |
| D2160 | <1% | 28 | $5K | |
| D4341 | <1% | 27 | $5K | |
| D1110 | Prophylaxis - adult | <1% | 11,194 | $3K |
| D0330 | Panoramic radiographic image | <1% | 6,862 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 13,293 | $1K |
| D1120 | Dental cleaning, child | <1% | 6,663 | $1K |
| D1206 | Topical application of fluoride varnish | <1% | 11,657 | $498.44 |
| D4355 | <1% | 356 | $315.81 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 8,131 | $210.77 |
| D1351 | Sealant - per tooth | <1% | 11,547 | $185.30 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,080 | $43.42 |
| D0272 | Bitewings - two radiographic images | <1% | 1,169 | $36.40 |
| D0270 | <1% | 2,479 | $31.53 | |
| D0240 | 0% | 372 | $0.00 | |
| D0603 | 0% | 23 | $0.00 | |
| D1310 | 0% | 116 | $0.00 | |
| D1330 | 0% | 94 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 55 | $0.00 |
| D0602 | 0% | 16 | $0.00 | |
| D3120 | 0% | 19 | $0.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 2,960 | $0.00 |
| D0180 | 0% | 16 | $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 officialCAZABAN, ANN (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Southside Community Health Services, INC. | Minneapolis, MN | $8.93M |
| Southside Community Health Services, INC. | Minneapolis, MN | $739K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.