Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › GRAND RAPIDS › MISKOVICH DENTAL CLINIC

MISKOVICH DENTAL CLINIC

NPI: 1255407060 · GRAND RAPIDS, MN 55744 · General Practice Dentistry · NPI assigned 11/27/2006

$57K
Total Medicaid Paid
2,856
Total Claims
2,707
Beneficiaries
8
Codes Billed
2018-01
First Month
2022-01
Last Month

Provider Details

Authorized OfficialMISKOVICH, PETER (PRESIDENT)
NPI Enumeration Date11/27/2006

Related Entities

Other providers sharing the same authorized official: MISKOVICH, PETER

ProviderCityStateTotal Paid
NORTHERN DENTAL PARTNERS AND ASSOCIATES PLLC GRAND RAPIDS MN $37K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 469 $2K
2019 527 $22K
2020 705 $11K
2021 1,057 $20K
2022 98 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 754 746 $21K
D1110 Prophylaxis - adult 313 309 $19K
D1206 Topical application of fluoride varnish 585 579 $12K
D1120 Prophylaxis - child 132 128 $4K
D9986 28 27 $560.00
D0220 Intraoral - periapical first radiographic image 26 26 $407.70
D1999 214 191 $0.00
D9985 804 701 $0.00