Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › ROSEAU › HALLIE, JON

HALLIE, JON

NPI: 1063892313 · ROSEAU, MN 56751 · Dentist · NPI assigned 06/02/2015

$6K
Total Medicaid Paid
378
Total Claims
339
Beneficiaries
4
Codes Billed
2018-02
First Month
2023-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 94 $0.00
2019 65 $1K
2020 77 $1K
2021 64 $1K
2022 37 $1K
2023 41 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 176 159 $3K
D9410 142 126 $2K
D1110 Prophylaxis - adult 12 12 $543.72
D9985 48 42 $0.00