HERMAN DENTAL CLINIC PA
NPI: 1104800705
· CALEDONIA, MN 55921
· Dentist
· NPI assigned 12/06/2005
$724K
Total Medicaid Paid
Provider Details
| Authorized Official | HERMAN, SARAH (OWNER/DENTIST) |
| NPI Enumeration Date | 12/06/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,758 |
$41K |
| 2019 |
7,214 |
$294K |
| 2020 |
4,166 |
$167K |
| 2021 |
3,627 |
$136K |
| 2022 |
1,778 |
$82K |
| 2024 |
72 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2150 |
|
1,758 |
863 |
$105K |
| D1110 |
|
1,891 |
1,874 |
$87K |
| D0120 |
|
2,833 |
2,819 |
$86K |
| D1206 |
|
3,403 |
3,374 |
$75K |
| D0274 |
|
2,118 |
2,106 |
$73K |
| D1351 |
|
2,723 |
600 |
$62K |
| D1120 |
|
1,769 |
1,759 |
$56K |
| D0140 |
|
2,252 |
1,889 |
$52K |
| D2140 |
|
1,096 |
560 |
$49K |
| D0150 |
|
1,039 |
1,034 |
$26K |
| D0330 |
|
416 |
409 |
$16K |
| D2160 |
|
323 |
183 |
$15K |
| D0220 |
|
1,125 |
1,029 |
$12K |
| D1330 |
|
199 |
199 |
$4K |
| D0230 |
|
428 |
278 |
$3K |
| D7140 |
|
36 |
12 |
$3K |
| D2330 |
|
165 |
79 |
$1K |
| D9230 |
|
29 |
27 |
$309.03 |
| D4355 |
|
12 |
12 |
$0.00 |