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SOUTHERN MINNESOTA COMMUNITY DENTAL CLINIC
SOUTHERN MINNESOTA COMMUNITY DENTAL CLINIC
NPI: 1285223339
· WASECA, MN 56093
· 1223G0001X
$1.43M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
966 |
$34K |
| 2022 |
9,253 |
$454K |
| 2023 |
10,651 |
$531K |
| 2024 |
8,922 |
$415K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
|
1,635 |
1,632 |
$161K |
| D0140 |
|
2,615 |
2,536 |
$118K |
| D0120 |
|
2,681 |
2,680 |
$110K |
| D2150 |
|
895 |
491 |
$97K |
| D1110 |
|
1,387 |
1,387 |
$96K |
| D0230 |
|
7,104 |
2,672 |
$94K |
| D2391 |
|
1,097 |
580 |
$92K |
| D0274 |
|
1,938 |
1,935 |
$92K |
| D7140 |
|
744 |
226 |
$87K |
| D2392 |
|
797 |
406 |
$87K |
| D1206 |
|
2,380 |
2,379 |
$85K |
| D0220 |
|
3,458 |
3,378 |
$64K |
| D1120 |
|
954 |
953 |
$46K |
| D2160 |
|
304 |
234 |
$40K |
| D2140 |
|
416 |
256 |
$35K |
| D2331 |
|
256 |
168 |
$32K |
| D2332 |
|
147 |
96 |
$23K |
| D2330 |
|
242 |
128 |
$22K |
| D0272 |
|
231 |
231 |
$10K |
| D0240 |
|
204 |
102 |
$9K |
| D2335 |
|
55 |
39 |
$8K |
| D4341 |
|
27 |
12 |
$6K |
| D1351 |
|
117 |
31 |
$5K |
| D2393 |
|
38 |
26 |
$5K |
| D7210 |
|
31 |
16 |
$5K |
| D0150 |
|
39 |
39 |
$2K |