Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › ST CLOUD › PETERSON, KARI

PETERSON, KARI

NPI: 1205995594 · ST CLOUD, MN 56301 · Dentist · NPI assigned 12/06/2006

$7K
Total Medicaid Paid
510
Total Claims
507
Beneficiaries
5
Codes Billed
2018-01
First Month
2021-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 201 $344.47
2019 116 $3K
2020 92 $2K
2021 101 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 300 298 $5K
D1206 Topical application of fluoride varnish 117 117 $2K
D1110 Prophylaxis - adult 66 66 $1K
D1120 Prophylaxis - child 12 12 $0.00
D9985 15 14 $0.00