MINNESOTA DENTAL PROFESSIONALS, P.C.
NPI: 1427773225
· SHAKOPEE, MN 55379
· General Practice Dentistry
· NPI assigned 10/05/2022
$640.81
Total Medicaid Paid
Provider Details
| Authorized Official | HUERTA, BELINDA (CREDENTIALING COORDINATOR) |
| Parent Organization | MINNESOTA DENTAL PROFESSIONALS, P.C. |
| NPI Enumeration Date | 10/05/2022 |
Related Entities
Other providers sharing the same authorized official: HUERTA, BELINDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
25 |
$640.81 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$335.39 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$305.42 |