Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › WORTHINGTON › APPLEWHITE DENTAL MINNESOTA, P.C.

APPLEWHITE DENTAL MINNESOTA, P.C.

NPI: 1205394079 · WORTHINGTON, MN 56187 · Dentist · NPI assigned 03/11/2019

$118K
Total Medicaid Paid
4,627
Total Claims
4,474
Beneficiaries
9
Codes Billed
2019-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLOSO, SHARON (CREDENTIALING SPECIALIST)
Parent OrganizationAPPLEWHITE DENTAL MINNESOTA, P.C.
NPI Enumeration Date03/11/2019

Related Entities

Other providers sharing the same authorized official: LOSO, SHARON

ProviderCityStateTotal Paid
APPLEWHITE DENTAL IOWA PC WEST DES MOINES IA $3.34M
APPLEWHITE DENTAL IOWA PC MANCHESTER IA $173K
APPLEWHITE DENTAL IOWA PC FORT DODGE IA $51K
APPLEWHITE DENTAL IOWA PC NEWTON IA $11K
APPLEWHITE DENTAL IOWA PC WEST DES MOINES IA $11K
APPLEWHITE DENTAL PARTNERS SPENCER IA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 58 $1K
2020 970 $19K
2021 1,127 $25K
2022 937 $28K
2023 791 $24K
2024 744 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 952 923 $41K
D0120 Periodic oral evaluation - established patient 1,371 1,349 $38K
D1206 Topical application of fluoride varnish 1,541 1,496 $19K
D0274 Bitewings - four radiographic images 336 326 $11K
D1120 Prophylaxis - child 279 279 $8K
D1351 Sealant - per tooth 48 14 $752.10
D0272 Bitewings - two radiographic images 24 24 $577.53
D0220 Intraoral - periapical first radiographic image 14 14 $170.20
D0431 62 49 $0.00