Medicaid Provider Spending

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

TWIN SMILES

NPI: 1326479288 · CRYSTAL, MN 55429 · Dentist · NPI assigned 12/03/2013

$14K
Total Medicaid Paid
795
Total Claims
790
Beneficiaries
5
Codes Billed
2018-05
First Month
2024-04
Last Month

Provider Details

Authorized OfficialRIZKALLA, MARIE (MANAGER)
NPI Enumeration Date12/03/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 217 $238.32
2019 150 $3K
2020 14 $197.78
2021 310 $7K
2022 30 $929.03
2023 45 $1K
2024 29 $861.24

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 345 343 $6K
D1206 Topical application of fluoride varnish 266 263 $4K
D1110 Prophylaxis - adult 145 145 $3K
D0274 Bitewings - four radiographic images 25 25 $647.94
D1120 Prophylaxis - child 14 14 $329.84