Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › OAKDALE › F.H. RUSSOMANNO JR., D.D.S.. P.A.,

F.H. RUSSOMANNO JR., D.D.S.. P.A.,

NPI: 1447818422 · OAKDALE, MN 55128 · Dental Clinic/Center · NPI assigned 06/04/2019

$3K
Total Medicaid Paid
144
Total Claims
144
Beneficiaries
2
Codes Billed
2020-07
First Month
2021-12
Last Month

Provider Details

Authorized OfficialJACOBSON, SAM (BUSINESS MANAGER)
NPI Enumeration Date06/04/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 65 $2K
2021 79 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 50 50 $2K
D0120 Periodic oral evaluation - established patient 94 94 $2K