Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › LAKEVILLE › MINNESOTA DENTAL PROFESSIONALS, P.C.

MINNESOTA DENTAL PROFESSIONALS, P.C.

NPI: 1043715204 · LAKEVILLE, MN 55044 · Dentist · NPI assigned 03/28/2018

$10K
Total Medicaid Paid
203
Total Claims
203
Beneficiaries
7
Codes Billed
2024-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBRITT, JESSICA (CREDENTIALING COORDINATOR)
Parent OrganizationMINNESOTA DENTAL PROFESSIONALS, P.C.
NPI Enumeration Date03/28/2018

Related Entities

Other providers sharing the same authorized official: BRITT, JESSICA

ProviderCityStateTotal Paid
DENTAL PROFESSIONALS OF MISSISSIPPI, P.C. TAYLORSVILLE MS $29K
MINNESOTA DENTAL PROFESSIONALS, P.C. BROOKLYN PARK MN $562.28

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 203 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 73 73 $3K
D0210 Intraoral - complete series of radiographic images 31 31 $3K
D1110 Prophylaxis - adult 30 30 $2K
D1206 Topical application of fluoride varnish 29 29 $884.21
D0431 16 16 $792.80
D0330 Panoramic radiographic image 12 12 $203.64
D0220 Intraoral - periapical first radiographic image 12 12 $181.91