Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › ST. PAUL › GRAND AVENUE SMILES

GRAND AVENUE SMILES

NPI: 1437704020 · ST. PAUL, MN 55105 · 1223G0001X

$3K
Total Medicaid Paid
160
Total Claims
118
Beneficiaries
6
Codes Billed
2019-11
First Month
2019-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 160 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 46 33 $2K
D0274 20 12 $512.70
D0140 16 16 $327.52
D0120 20 14 $267.15
D1206 12 12 $215.76
D1330 46 31 $98.25