Medicaid Provider Spending

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

MODERN DENTAL PROFESSIONALS MINNESOTA PC

NPI: 1194053173 · VICTORIA, MN 55386 · General Practice Dentistry · NPI assigned 12/02/2009

$7K
Total Medicaid Paid
279
Total Claims
276
Beneficiaries
4
Codes Billed
2019-04
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMYER, JAMES (CFO)
NPI Enumeration Date12/02/2009

Related Entities

Other providers sharing the same authorized official: MYER, JAMES

ProviderCityStateTotal Paid
MODERN DENTAL PROFESSIONALS, MN PC RENVILLE MN $24K
MODERN DENTAL PROFESSIONALS MINNESOTA PC MANKATO MN $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 26 $470.44
2020 45 $601.85
2021 40 $516.36
2022 34 $1K
2023 68 $2K
2024 66 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 139 139 $4K
D1206 115 112 $2K
D1110 13 13 $684.28
D1999 12 12 $0.00