Medicaid Provider Spending

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

GROVE ENDODONTICS, P.A.

NPI: 1083789507 · COTTAGE GROVE, MN 55016 · Endodontist · NPI assigned 11/21/2006

$5K
Total Medicaid Paid
118
Total Claims
117
Beneficiaries
3
Codes Billed
2022-05
First Month
2023-01
Last Month

Provider Details

Authorized OfficialWALDRON, THOMAS (PRESIDENT)
NPI Enumeration Date11/21/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 102 $4K
2023 16 $395.20

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 45 45 $3K
D0220 Intraoral - periapical first radiographic image 60 60 $1K
D0230 Intraoral - periapical each additional radiographic image 13 12 $260.00