Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › COON RAPIDS › RIVERDALE PEDIATRIC DENTISTRY P.A.

RIVERDALE PEDIATRIC DENTISTRY P.A.

NPI: 1053690198 · COON RAPIDS, MN 55433 · Pediatric Dentist · NPI assigned 08/07/2011

$16K
Total Medicaid Paid
1,082
Total Claims
934
Beneficiaries
7
Codes Billed
2018-01
First Month
2019-03
Last Month

Provider Details

Authorized OfficialRINDELAUB, DARCY (PEDIATRIC DENTIST)
NPI Enumeration Date08/07/2011

Related Entities

Other providers sharing the same authorized official: RINDELAUB, DARCY

ProviderCityStateTotal Paid
NEW RICHMOND KIDDS PEDIATRIC DENTISTRY LLC NEW RICHMOND WI $407K
ST. CROIX KIDDS PEDIATRIC DENTISTRY WHITE BEAR LAKE MN $122K
BLAINE KIDDS PEDIATRIC DENTISTRY PLLC BLAINE MN $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 922 $13K
2019 160 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 328 302 $6K
D1120 Prophylaxis - child 320 291 $5K
D1206 Topical application of fluoride varnish 282 251 $4K
D0272 Bitewings - two radiographic images 30 24 $315.42
D1351 Sealant - per tooth 59 15 $297.96
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 27 24 $254.52
D0220 Intraoral - periapical first radiographic image 36 27 $208.93