Medicaid Provider Spending

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

AREA LAKES DENTAL, LLC

NPI: 1346435542 · BATTLE LAKE, MN 56515 · Dentist · NPI assigned 09/11/2007

$11K
Total Medicaid Paid
296
Total Claims
296
Beneficiaries
4
Codes Billed
2020-06
First Month
2024-08
Last Month

Provider Details

Authorized OfficialSMITH, TODD (MANAGER)
NPI Enumeration Date09/11/2007

Related Entities

Other providers sharing the same authorized official: SMITH, TODD

ProviderCityStateTotal Paid
BLUE RIDGE INTERNAL MEDICINE INC. PRINCETON WV $35K
AURORA CHARTER OAK-LOS ANGELES, LLC COVINA CA $620.04
HAANEN ZILISCH SMITH CHIROPRACTIC CLINIC LLC KAUKAUNA WI $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 12 $312.80
2021 25 $598.18
2022 56 $2K
2023 134 $6K
2024 69 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 189 189 $6K
D1110 Prophylaxis - adult 83 83 $4K
D0274 Bitewings - four radiographic images 12 12 $569.24
D1120 Prophylaxis - child 12 12 $479.28