Medicaid Provider Spending

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

GENTLE DENTISTRY OF MINNESOTA, LTD

NPI: 1083011928 · SHAKOPEE, MN 55379 · General Practice Dentistry · NPI assigned 11/20/2014

$58K
Total Medicaid Paid
1,391
Total Claims
1,384
Beneficiaries
9
Codes Billed
2021-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBODIN, ROBERT (CEO)
NPI Enumeration Date11/20/2014

Related Entities

Other providers sharing the same authorized official: BODIN, ROBERT

ProviderCityStateTotal Paid
FAMILY AND COSMETIC GENTLE DENTISTRY NEW HOPE MN $5.18M
FAMILY AND COSMETIC GENTLE DENTISTRY EDINA MN $57K
FAMILY AND COSMETIC GENTLE DENTISTRY WAYZATA MN $903.98

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 70 $2K
2022 264 $11K
2023 759 $31K
2024 298 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 400 396 $23K
D0120 Periodic oral evaluation - established patient 304 302 $10K
D0274 Bitewings - four radiographic images 219 219 $9K
D1206 Topical application of fluoride varnish 308 308 $9K
D0150 Comprehensive oral evaluation - new or established patient 88 88 $4K
D0330 Panoramic radiographic image 25 25 $2K
D0140 Limited oral evaluation - problem focused 16 15 $732.68
D1120 Prophylaxis - child 14 14 $519.22
D0220 Intraoral - periapical first radiographic image 17 17 $291.62