Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › FOLEY › DEWEY STREET DENTAL

DEWEY STREET DENTAL

NPI: 1285032136 · FOLEY, MN 56329 · General Practice Dentistry · NPI assigned 12/09/2014

$30K
Total Medicaid Paid
987
Total Claims
973
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialO'BRIEN, STEVEN (OWNER)
NPI Enumeration Date12/09/2014

Related Entities

Other providers sharing the same authorized official: O'BRIEN, STEVEN

ProviderCityStateTotal Paid
LINK ASSOCIATES WEST DES MOINES IA $83.28M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 54 $0.00
2019 31 $743.27
2020 82 $2K
2021 143 $4K
2022 85 $3K
2023 332 $11K
2024 260 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 766 758 $21K
D1110 Prophylaxis - adult 160 155 $7K
D1120 Prophylaxis - child 32 32 $1K
D0272 Bitewings - two radiographic images 12 12 $301.32
D1999 17 16 $0.00