Medicaid Provider Spending

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

PARK RAPIDS FAMILY DENTAL PLLC

NPI: 1033739248 · PARK RAPIDS, MN 56470 · Dental Clinic/Center · NPI assigned 04/17/2020

$3K
Total Medicaid Paid
100
Total Claims
99
Beneficiaries
2
Codes Billed
2020-07
First Month
2021-12
Last Month

Provider Details

Authorized OfficialNELSON, LORA (OWNER/DENTIST)
NPI Enumeration Date04/17/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 59 $2K
2021 41 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 87 87 $2K
D1110 Prophylaxis - adult 13 12 $422.72