Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › SANDSTONE › SANDSTONE DENTAL OFFICE

SANDSTONE DENTAL OFFICE

NPI: 1053427237 · SANDSTONE, MN 55072 · Dentist · NPI assigned 08/21/2006

$70K
Total Medicaid Paid
2,508
Total Claims
2,404
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBENNETT, MICHAEL (OWNER DENTIST)
NPI Enumeration Date08/21/2006

Related Entities

Other providers sharing the same authorized official: BENNETT, MICHAEL

ProviderCityStateTotal Paid
HALE MAKA IKE LLC HONOLULU HI $920K
GUTHRIE VISION SOURCE PC, INC. GUTHRIE OK $665K
CENTER FOR SIGHT - WEST OAHU LLC HONOLULU HI $366K
RETINA INSTITUTE OF HAWAII LLC KAILUA KONA HI $348K
CENTER FOR SIGHT LLC KAHULUI HI $157K
HAWAII CATARACT AND LASER INSTITUTE HILO LLC HILO HI $82K
MICHAEL J BENNETT JUNEAU AK $73K
THOUSAND ISLANDS EMERGENCY RESCUE SERVICE INC CLAYTON NY $54K
EYE CENTER OF HAWAII LLC KAILUA KONA HI $2K
FISHERS ORAL & MAXILLOFACIAL SURGERY FISHERS IN $526.52

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 785 $4K
2019 573 $21K
2020 399 $15K
2021 272 $9K
2022 116 $5K
2023 289 $13K
2024 74 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,250 1,228 $30K
D1110 Prophylaxis - adult 475 468 $22K
D0274 Bitewings - four radiographic images 353 346 $9K
D7140 Extraction, erupted tooth or exposed root 89 51 $2K
D1120 Prophylaxis - child 75 75 $2K
D0220 Intraoral - periapical first radiographic image 196 167 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 14 13 $1K
D1206 Topical application of fluoride varnish 40 40 $1K
D0272 Bitewings - two radiographic images 16 16 $496.07