Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › WAYZATA › FAMILY AND COSMETIC GENTLE DENTISTRY

FAMILY AND COSMETIC GENTLE DENTISTRY

NPI: 1164803177 · WAYZATA, MN 55391 · General Practice Dentistry · NPI assigned 06/16/2015

$903.98
Total Medicaid Paid
37
Total Claims
37
Beneficiaries
2
Codes Billed
2018-12
First Month
2019-02
Last Month

Provider Details

Authorized OfficialBODIN, ROBERT (DENTIST)
NPI Enumeration Date06/16/2015

Related Entities

Other providers sharing the same authorized official: BODIN, ROBERT

ProviderCityStateTotal Paid
FAMILY AND COSMETIC GENTLE DENTISTRY NEW HOPE MN $5.18M
GENTLE DENTISTRY OF MINNESOTA, LTD SHAKOPEE MN $58K
FAMILY AND COSMETIC GENTLE DENTISTRY EDINA MN $57K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24 $622.88
2019 13 $281.10

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 25 25 $494.40
D1110 Prophylaxis - adult 12 12 $409.58