Medicaid Provider Spending

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

IMMANUEL DENTAL

NPI: 1417070509 · FARMINGTON, MN 55024 · 122300000X

$54K

Total Medicaid Paid

1,920

Total Claims

1,910

Beneficiaries

8

Codes Billed

2018-01

First Month

2024-11

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	173	$83.82
2019	304	$7K
2020	281	$6K
2021	214	$5K
2022	163	$7K
2023	444	$16K
2024	341	$13K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1110		522	519	$23K
D0120		956	949	$21K
D1206		170	170	$3K
D0274		104	104	$3K
D0150		68	68	$2K
D1120		73	73	$1K
D0220		12	12	$176.35
D0272		15	15	$152.88