Medicaid Provider Spending

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

DENTAL HEALTH SERVICES MINNEWASKA PLLC

NPI: 1225258247 · GLENWOOD, MN 56334 · General Practice Dentistry · NPI assigned 05/01/2007

$39K
Total Medicaid Paid
1,673
Total Claims
1,653
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRINGDAHL, SCOTT (OWNER W DR JEREMY MYROM)
NPI Enumeration Date05/01/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 289 $806.76
2019 260 $5K
2020 204 $4K
2021 258 $5K
2022 218 $8K
2023 255 $9K
2024 189 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 895 885 $18K
D1110 Prophylaxis - adult 358 352 $13K
D1206 Topical application of fluoride varnish 361 357 $6K
D1120 Prophylaxis - child 47 47 $1K
D0274 Bitewings - four radiographic images 12 12 $301.22