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    v1.0.28
    OpenPayerNPI Medicare & MedicaidWest Side Community Health Services, Inc.
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    West Side Community Health Services, Inc. — Billing Profile & Reimbursement Data

    NPI 1912058058 · St Paul, MN · Dental Clinic/Center

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    West Side Community Health Services, Inc. is a dental clinic/center provider located in St Paul, Minnesota. This profile covers 0 Medicare and 31 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationWest Side Community Health Services, Inc.
    Address895 E. 7th St
    CitySt Paul
    StateMN
    ZIP55106
    TaxonomyDental Clinic/Center
    NPI EnumeratedJanuary 16, 2007

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

    Payer SourceTotal Paid
    Medicaid$7M
    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D0140Limited oral evaluation – problem focused10,830$190$2M
    D0120Periodic oral evaluation - established patient10,920$180$1.9M
    D0150Comprehensive oral evaluation – new or established patient5,770$170$963.4K
    D2391Resin‑based composite – one surface, posterior4,910$140$662.6K
    D2392Post 2 surface resin‑based composite3,690$140$523.6K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)2,350$120$281.4K
    D2150Amalgam - two surfaces, primary or permanent1,490$100$155.3K
    D2140Amalgam - one surface, primary or permanent1,110$100$106.1K
    D5899N/A540$150$80.9K
    D2331N/A420$130$53.8K

    Showing 1–10 of 31

    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

    31 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)62240730$100$243.2K
    D5899N/A820400$210$180K
    D2392Post 2 surface resin‑based composite35270540$90$161.5K
    D0140Limited oral evaluation – problem focused20390730$60$153.3K
    D0120Periodic oral evaluation - established patient45740430$50$120.3K
    D2391Resin‑based composite – one surface, posterior24250420$70$116.6K
    D0330N/A41370590$60$109K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth57640380$50$93.7K
    D0150Comprehensive oral evaluation – new or established patient25370530$60$91.1K
    D1351Sealant - per tooth39230690$30$86.6K

    Showing 1–10 of 31

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with West Side Community Health Services, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    West Side Community Health Services, Inc.MNFederally Qualified Health Center (FQHC)$0$23.8M
    West Side Community Health Services, IncMNFederally Qualified Health Center (FQHC)$0$17.3M
    West Side Community Health Services, Inc.MNFederally Qualified Health Center (FQHC)$0$4.5M
    West Side Community Health Services, IncMNFederally Qualified Health Center (FQHC)$0$4.5M
    Mary YeeMNFamily Medicine Physician$430$0

    Nearby Providers

    Other providers in the same ZIP code as West Side Community Health Services, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hmong Home Health Care, LLCMNHome Health Agency$0$112.6M
    Fairview Health ServicesMNLand Ambulance$2.3M$48.5M
    Att Home Health Care Inc.MNHome Health Agency$0$30M
    Express Home Health Care, Inc.MNHome Health Agency$0$29.6M
    Kmjc, LLCMNAssisted Living Facility$0$17M
    James KukwaMNSocial Worker$0$10M
    Overcomer Healthcare Service CorporationMNHome Health Registered Nurse$0$8.5M
    Anew LLCMNAddiction (Substance Use Disorder) Counselor$0$8.3M
    Asian Community Center, LLCMNAdult Day Care Clinic/Center$0$7.3M
    Gvp Senior Care Center, Inc.MNAdult Day Care Clinic/Center$0$5.4M

    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
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Minnesota Distribution
    West Side Community Health Services, Inc. — 1 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota