Medicaid Provider Spending

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

WELCH DENTAL CARE PA

NPI: 1003584210 · SARTELL, MN 56377 · Dental Clinic/Center · NPI assigned 09/01/2021

$13K
Total Medicaid Paid
307
Total Claims
304
Beneficiaries
4
Codes Billed
2021-12
First Month
2024-10
Last Month

Provider Details

Authorized OfficialWELCH, COURTNEY (OWNER)
NPI Enumeration Date09/01/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 13 $491.04
2022 68 $3K
2023 102 $5K
2024 124 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 162 160 $8K
D0120 Periodic oral evaluation - established patient 121 120 $4K
D0274 Bitewings - four radiographic images 12 12 $464.23
D1206 Topical application of fluoride varnish 12 12 $339.73