MINNESOTA DENTAL PROFESSIONALS, P.C.
NPI: 1225696925
· BROOKLYN PARK, MN 55443
· General Practice Dentistry
· NPI assigned 05/29/2019
$562.28
Total Medicaid Paid
Provider Details
| Authorized Official | BRITT, JESSICA (CREDENTIALING COORDINATOR) |
| Parent Organization | MINNESOTA DENTAL PROFESSIONALS, P.C. |
| NPI Enumeration Date | 05/29/2019 |
Related Entities
Other providers sharing the same authorized official: BRITT, JESSICA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
12 |
$562.28 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$562.28 |