Medicaid Provider Spending

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

ST. PAUL PEDIATRIC DENTISTRY, PC

NPI: 1386943876 · SAINT PAUL, MN 55106 · Dental Clinic/Center · NPI assigned 03/23/2011

$23K
Total Medicaid Paid
2,088
Total Claims
1,929
Beneficiaries
9
Codes Billed
2019-07
First Month
2024-08
Last Month

Provider Details

Authorized OfficialHAMAN, JULIE (PRESIDENT)
NPI Enumeration Date03/23/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 541 $10K
2020 912 $10K
2021 282 $719.49
2022 247 $2K
2023 51 $209.09
2024 55 $583.99

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 577 555 $8K
D0120 Periodic oral evaluation - established patient 414 405 $7K
D1208 Topical application of fluoride, excluding varnish 617 582 $6K
D0272 Bitewings - two radiographic images 66 65 $1K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 90 81 $682.67
D1354 31 12 $93.20
D0220 Intraoral - periapical first radiographic image 13 13 $39.30
D1999 266 204 $0.00
D0190 14 12 $0.00