Medicaid Provider Spending

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

DR. DEBRA L. AMUNDSON DDS. P.A

NPI: 1306563895 · NEW HOPE, MN 55427 · General Practice Dentistry · NPI assigned 10/25/2022

$10K
Total Medicaid Paid
183
Total Claims
179
Beneficiaries
5
Codes Billed
2022-12
First Month
2024-09
Last Month

Provider Details

Authorized OfficialAMUNDSON, DEBRA (DENTIST)
NPI Enumeration Date10/25/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 17 $770.94
2023 53 $3K
2024 113 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 114 110 $6K
D0210 Intraoral - complete series of radiographic images 26 26 $2K
D1330 15 15 $440.70
D1206 Topical application of fluoride varnish 15 15 $434.56
D0120 Periodic oral evaluation - established patient 13 13 $353.26