Medicaid Provider Spending

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

CARLSON DENTAL OFFICE PA

NPI: 1184637258 · FAIRMONT, MN 56031 · Dentist · NPI assigned 08/13/2006

$14K
Total Medicaid Paid
404
Total Claims
402
Beneficiaries
4
Codes Billed
2020-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARLSON, PAUL (DENTIST OWNER)
NPI Enumeration Date08/13/2006

Related Entities

Other providers sharing the same authorized official: CARLSON, PAUL

ProviderCityStateTotal Paid
APPLETON DENTAL CARE, P.A. APPLETON MN $30K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 12 $266.93
2021 39 $1K
2022 78 $2K
2023 182 $7K
2024 93 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 310 308 $9K
D1110 Prophylaxis - adult 57 57 $3K
D0274 Bitewings - four radiographic images 24 24 $862.00
D1206 Topical application of fluoride varnish 13 13 $396.37