Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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LAKE CITY
› PEPIN VALLEY DENTAL
PEPIN VALLEY DENTAL
NPI: 1114188307 · LAKE CITY, MN 55041 ·
261QD0000X
$128.12
Total Medicaid Paid
43
Total Claims
42
Beneficiaries
2
Codes Billed
2018-02
First Month
2018-08
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
43
$128.12
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1206
26
25
$75.11
D0120
17
17
$53.01