Medicaid Provider Spending

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

AFFILIATED PEDIATRIC DENTISTS PA

NPI: 1306853437 · EDINA, MN 55435 · Pediatric Dentist · NPI assigned 08/02/2006

$35K
Total Medicaid Paid
2,239
Total Claims
1,988
Beneficiaries
10
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialKING, KURT (PRESIDENT)
NPI Enumeration Date08/02/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 484 $8K
2019 732 $11K
2020 218 $3K
2021 419 $7K
2022 360 $6K
2023 26 $230.92

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 854 828 $15K
D0120 Periodic oral evaluation - established patient 353 344 $9K
D1120 Prophylaxis - child 332 326 $8K
D0230 Intraoral - periapical each additional radiographic image 229 38 $1K
D0150 Comprehensive oral evaluation - new or established patient 37 36 $934.33
D0220 Intraoral - periapical first radiographic image 55 51 $657.80
D0272 Bitewings - two radiographic images 27 27 $585.78
D1999 76 76 $34.08
D9985 246 236 $0.00
D9420 30 26 $0.00