Medicaid Provider Spending

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

NEW ULM DENTAL CLINIC

NPI: 1023172251 · NEW ULM, MN 56073 · General Practice Dentistry · NPI assigned 12/21/2006

$26K
Total Medicaid Paid
1,443
Total Claims
1,345
Beneficiaries
5
Codes Billed
2018-01
First Month
2020-10
Last Month

Provider Details

Authorized OfficialDRUGAN, DANIEL (OWNER)
NPI Enumeration Date12/21/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 511 $948.08
2019 363 $13K
2020 569 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 443 422 $15K
D0120 Periodic oral evaluation - established patient 637 605 $10K
D0274 Bitewings - four radiographic images 61 55 $1K
D1206 Topical application of fluoride varnish 82 64 $27.70
D1999 220 199 $0.00