THE SALVATION ARMY
NPI: 1093882656
· ROCHESTER, MN 55906
· General Practice Dentistry
· NPI assigned 11/29/2006
$136K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: UTHKE-SCALETTA, ALLISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
705 |
$7K |
| 2019 |
295 |
$16K |
| 2020 |
438 |
$23K |
| 2021 |
986 |
$50K |
| 2022 |
552 |
$40K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
1,172 |
694 |
$80K |
| D0140 |
Limited oral evaluation - problem focused |
1,078 |
1,054 |
$28K |
| D0330 |
Panoramic radiographic image |
726 |
715 |
$28K |