Medicaid Provider Spending

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

ALBANY FAMILY DENTISTRY P.A.

NPI: 1336378975 · ALBANY, MN 56307 · General Practice Dentistry · NPI assigned 07/03/2009

$20K
Total Medicaid Paid
972
Total Claims
952
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSPYCHALA, JASON (OWNER)
NPI Enumeration Date07/03/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 226 $101.22
2019 79 $2K
2020 166 $2K
2021 30 $717.85
2022 215 $8K
2023 160 $5K
2024 96 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 610 602 $14K
D1110 Prophylaxis - adult 111 105 $5K
D0274 Bitewings - four radiographic images 39 38 $633.29
D1206 Topical application of fluoride varnish 12 12 $335.39
D1120 Prophylaxis - child 53 53 $318.60
D1208 Topical application of fluoride, excluding varnish 43 43 $0.00
D1999 104 99 $0.00