Medicaid Provider Spending

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

SOUTHDALE DENTAL ASSOCIATES

NPI: 1285691220 · EDINA, MN 55435 · 122300000X

$2K
Total Medicaid Paid
101
Total Claims
98
Beneficiaries
3
Codes Billed
2018-03
First Month
2023-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25 $497.64
2019 12 $340.68
2020 13 $0.00
2021 26 $340.08
2023 25 $586.74

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 50 49 $2K
D0120 12 12 $156.96
D9985 39 37 $0.00