Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidAl Shifa Dentistry PA
    Ask Trek AI about this page

    Al Shifa Dentistry PA — Billing Profile & Reimbursement Data

    NPI 1760703151 · Maple Grove, MN · Dental Clinic/Center

    Customize your policy alerts

    Sign up for Al Shifa Dentistry PA — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Al Shifa Dentistry PA is a dental clinic/center provider located in Maple Grove, Minnesota. This profile covers 0 Medicare and 43 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 7

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAl Shifa Dentistry PA
    Address12936 63rd Ave N
    CityMaple Grove
    StateMN
    ZIP55369
    TaxonomyDental Clinic/Center
    NPI EnumeratedJune 19, 2010

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$18.4M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    43 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1110Prophylaxis - adult; cleaning and polishing of the teeth36,640$50$1.9M
    D0120Periodic oral evaluation - established patient57,670$30$1.8M
    D2392Post 2 surface resin‑based composite23,340$70$1.7M
    D2722N/A1,340$950$1.3M
    D0274N/A35,020$40$1.2M
    D2391Resin‑based composite – one surface, posterior18,810$60$1.1M
    D1351Sealant - per tooth27,420$30$904.7K
    D2150Amalgam - two surfaces, primary or permanent8,550$90$769.1K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)9,100$80$755.2K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients27,820$30$751K

    Showing 1–10 of 43

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Minnesota median

    43 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1013Sign language or oral interpretive services, per 15 minutes126210560$60$822.1K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)14240730$100$243.2K
    D2722N/A12080$910$237.1K
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…47120320$140$221.6K
    D2392Post 2 surface resin‑based composite3270540$90$161.5K
    D0140Limited oral evaluation – problem focused41390730$60$153.3K
    D3330N/A152060$850$147.2K
    D0120Periodic oral evaluation - established patient2740430$50$120.3K
    D2391Resin‑based composite – one surface, posterior3250420$70$116.6K
    D0330N/A35370590$60$109K

    Showing 1–10 of 43

    Nearby Providers

    Other providers in the same ZIP code as Al Shifa Dentistry PA, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Regency Home Healthcare Services LLCMNHome Health Agency$0$11.1M
    Children's Clinic NetworkMNPrimary Care Clinic/Center$0$10M
    Osseo Area SchoolsMNLocal Education Agency (LEA)$0$8.8M
    Miso Dentistry, PCMNDentist$0$8.4M
    Maple Grove Hospital CorporationMNGeneral Acute Care Hospital$0$7.6M
    Interventional Spine And Pain Physicians, PAMNSpecialist$0$5.5M
    North Memorial Health CareMNUrgent Care Clinic/Center$0$4.5M
    Metropolitan Surgical Center, LLCMNAmbulatory Surgical Clinic/Center$1.6M$1.3M
    Asim KhanMNRheumatology Physician$2.4M$0
    Sumi PatelMNRheumatology Physician$364.5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Minnesota Providers
    3 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Minnesota Distribution
    Al Shifa Dentistry PA — 21 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota