Medicaid Provider Spending

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

MINT DENTAL OAK PARK, LLC.

NPI: 1154059921 · LENEXA, KS 66215 · Dental Clinic/Center · NPI assigned 08/10/2022

$12K
Total Medicaid Paid
711
Total Claims
611
Beneficiaries
7
Codes Billed
2024-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDOBBINS, WAYNE (CEO)
NPI Enumeration Date08/10/2022

Related Entities

Other providers sharing the same authorized official: DOBBINS, WAYNE

ProviderCityStateTotal Paid
SWEET TOOTH SHAWNEE, LLC SHAWNEE KS $860K
SWEET TOOTH OLATHE, LLC OLATHE KS $852K
SWEET TOOTH PEDIATRIC DENTISTRY & ORTHODONTIC SPECIALISTS LLC OVERLAND PARK KS $336K
SWEET TOOTH BARRY KANSAS CITY MO $78K
MINT DENTAL ANTIOCH LLC OVERLAND PARK KS $34K
MINT DENTAL INDEPENDENCE, LLC. INDEPENDENCE MO $4K
SWEET TOOTH SHAWNEE ORTHODONTICS, LLC SHAWNEE KS $616.94

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 711 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 106 101 $3K
D0330 Panoramic radiographic image 121 115 $2K
D0274 Bitewings - four radiographic images 97 91 $2K
D0220 Intraoral - periapical first radiographic image 172 161 $2K
D0230 Intraoral - periapical each additional radiographic image 181 112 $1K
D1110 Prophylaxis - adult 14 14 $568.44
D0140 Limited oral evaluation - problem focused 20 17 $404.43