Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ROGER GRANDGENETT DDS PA

NPI: 1003086810 · BLUE EARTH, MN 56013 · Dentist · NPI assigned 03/07/2008

$70K
Total Medicaid Paid
2,251
Total Claims
2,231
Beneficiaries
5
Codes Billed
2018-04
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGRANDGENETT, ROGER (OWNER)
NPI Enumeration Date03/07/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 252 $745.89
2019 41 $1K
2020 323 $9K
2021 439 $13K
2022 426 $17K
2023 545 $21K
2024 225 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 778 770 $35K
D0120 Periodic oral evaluation - established patient 1,173 1,163 $29K
D1206 Topical application of fluoride varnish 223 221 $5K
D1120 Prophylaxis - child 64 64 $2K
D0274 Bitewings - four radiographic images 13 13 $411.63