Medicaid Provider Spending

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

OLSON DENTAL ASSOCIATES

NPI: 1235322504 · SAINT PAUL, MN 55104 · General Practice Dentistry · NPI assigned 08/21/2007

$2K
Total Medicaid Paid
223
Total Claims
160
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-03
Last Month

Provider Details

Authorized OfficialOLSON, KENNETH (OWNER)
NPI Enumeration Date08/21/2007

Related Entities

Other providers sharing the same authorized official: OLSON, KENNETH

ProviderCityStateTotal Paid
KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND, INC. ELLSWORTH ME $14.98M
CITY OF LAUREL LAUREL MT $38K
BRIDGER PSYCHIATRIC SERVICES PC BOZEMAN MT $3K
OLSON DENTAL ASSOCIATES P.S.C. SAINT PAUL MN $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 223 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 67 50 $816.48
D1110 Prophylaxis - adult 34 27 $369.94
D0274 Bitewings - four radiographic images 36 26 $230.80
D0120 Periodic oral evaluation - established patient 15 13 $212.06
D0330 Panoramic radiographic image 21 15 $0.00
D0220 Intraoral - periapical first radiographic image 26 17 $0.00
D0230 Intraoral - periapical each additional radiographic image 24 12 $0.00