Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › EDEN PRAIRIE › MOLLDREM FAMILY DENTISTRY

MOLLDREM FAMILY DENTISTRY

NPI: 1326173279 · EDEN PRAIRIE, MN 55344 · General Practice Dentistry · NPI assigned 02/22/2007

$1K
Total Medicaid Paid
27
Total Claims
27
Beneficiaries
2
Codes Billed
2022-10
First Month
2022-10
Last Month

Provider Details

Authorized OfficialMOLLDREM, KEVIN (OWNER)
NPI Enumeration Date02/22/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 27 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 15 15 $605.83
D0274 Bitewings - four radiographic images 12 12 $397.15