Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › LAKE CITY › PEPIN VALLEY DENTAL

PEPIN VALLEY DENTAL

NPI: 1114188307 · LAKE CITY, MN 55041 · Dental Clinic/Center · NPI assigned 06/19/2008

$128.12
Total Medicaid Paid
43
Total Claims
42
Beneficiaries
2
Codes Billed
2018-02
First Month
2018-08
Last Month

Provider Details

Authorized OfficialBROWN, STEPHEN (PRESIDENT)
NPI Enumeration Date06/19/2008

Related Entities

Other providers sharing the same authorized official: BROWN, STEPHEN

ProviderCityStateTotal Paid
CARLOS G. OTIS HEALTH CARE CENTER, INC. TOWNSHEND VT $5.99M
CNY WOMEN'S HEALTHCARE, P.C. EAST SYRACUSE NY $1.22M
AFFILIATED COLON AND RECTAL SURGEONS PC PHOENIX AZ $350K
STEVE BROWN SIERRA NEVADA REHAB LTD RENO NV $213K
STEPHEN E. BROWN, M.D., INC LONG BEACH CA $64K
RESPIRATORY SPECIALISTS LLC SAFETY HARBOR FL $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 43 $128.12

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 26 25 $75.11
D0120 Periodic oral evaluation - established patient 17 17 $53.01