Medicaid Provider Spending

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

NPI: 1205204146 · MAPLE GROVE, MN 55369 · Dentist · NPI assigned 09/09/2015

$2K
Total Medicaid Paid
64
Total Claims
64
Beneficiaries
2
Codes Billed
2018-02
First Month
2024-01
Last Month

Provider Details

Authorized OfficialKUBLE, GENIE (CONTACT OFFICER)
NPI Enumeration Date09/09/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $0.00
2022 13 $635.36
2023 13 $359.61
2024 26 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 26 26 $1K
D0120 Periodic oral evaluation - established patient 38 38 $832.29