MINNESOTA DENTAL PROFESSIONALS, P.C.
NPI: 1154926939
· APPLE VALLEY, MN 55124
· General Practice Dentistry
· NPI assigned 12/01/2020
$444.22
Total Medicaid Paid
Provider Details
| Authorized Official | LEMKE, TABATHA (CREDENTIALING COORDINATOR) |
| Parent Organization | HEARTLAND DENTAL |
| NPI Enumeration Date | 12/01/2020 |
Related Entities
Other providers sharing the same authorized official: LEMKE, TABATHA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
12 |
$444.22 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$444.22 |