Medicaid Provider Spending

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

DAKOTA PEDIATRIC DENTISTRY PARTNERSHIP

NPI: 1346811965 · FARGO, ND 58104 · Pediatric Dentist · NPI assigned 07/06/2021

$85K
Total Medicaid Paid
3,251
Total Claims
3,122
Beneficiaries
8
Codes Billed
2021-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHOGE, CHAD (GENERAL PARTNER)
NPI Enumeration Date07/06/2021

Related Entities

Other providers sharing the same authorized official: HOGE, CHAD

ProviderCityStateTotal Paid
DAKOTA PEDIATRIC DENTISTRY PARTNERSHIP GRAND FORKS ND $415K
DAKOTA PEDIATRIC DENTISTRY PC GRAND FORKS ND $320K
DAKOTA PEDIATRIC DENTISTRY FARGO ND $122K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 523 $13K
2022 1,227 $34K
2023 905 $22K
2024 596 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 1,134 1,086 $26K
D1120 Prophylaxis - child 760 735 $25K
D0120 Periodic oral evaluation - established patient 938 900 $23K
D0272 Bitewings - two radiographic images 310 295 $8K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 69 66 $2K
D1110 Prophylaxis - adult 15 15 $613.42
D0150 Comprehensive oral evaluation - new or established patient 13 13 $530.20
D0220 Intraoral - periapical first radiographic image 12 12 $169.44