Medicaid Provider Spending

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

BYRON ROWELL PA

NPI: 1275797763 · GRAND RAPIDS, MN 55744 · Dental Clinic/Center · NPI assigned 07/14/2008

$12K
Total Medicaid Paid
615
Total Claims
594
Beneficiaries
7
Codes Billed
2018-02
First Month
2021-09
Last Month

Provider Details

Authorized OfficialROWELL, BYRON (OWNER/DENTIST)
NPI Enumeration Date07/14/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 199 $114.70
2019 172 $8K
2020 232 $3K
2021 12 $314.37

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 252 252 $7K
D1120 Prophylaxis - child 86 86 $3K
D1110 Prophylaxis - adult 25 25 $1K
D1206 Topical application of fluoride varnish 74 73 $830.27
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 19 15 $24.57
D1999 135 123 $0.00
D9985 24 20 $0.00