Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › ROSEAU › J.M. HALLIE INC.

J.M. HALLIE INC.

NPI: 1407557085 · ROSEAU, MN 56751 · General Practice Dentistry · NPI assigned 03/13/2023

$1K
Total Medicaid Paid
40
Total Claims
40
Beneficiaries
2
Codes Billed
2024-02
First Month
2024-02
Last Month

Provider Details

Authorized OfficialHALLIE, JON (CEO)
NPI Enumeration Date03/13/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 40 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 24 24 $685.80
D9410 16 16 $532.80