Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › SAINT MICHAEL › MINNESOTA DENTAL PROFESSIONALS, P.C.

MINNESOTA DENTAL PROFESSIONALS, P.C.

NPI: 1447896733 · SAINT MICHAEL, MN 55376 · General Practice Dentistry · NPI assigned 11/21/2019

$13K
Total Medicaid Paid
447
Total Claims
383
Beneficiaries
7
Codes Billed
2024-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBRITT, JESSICA (CREDENTIALING COORDINATOR)
Parent OrganizationMINNESOTA DENTAL PROFESSIONALS, P.C.
NPI Enumeration Date11/21/2019

Related Entities

Other providers sharing the same authorized official: BRITT, JESSICA

ProviderCityStateTotal Paid
DENTAL PROFESSIONALS OF MISSISSIPPI, P.C. TAYLORSVILLE MS $29K
MINNESOTA DENTAL PROFESSIONALS, P.C. LAKEVILLE MN $10K
MINNESOTA DENTAL PROFESSIONALS, P.C. BROOKLYN PARK MN $562.28

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 447 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 55 55 $3K
D0150 Comprehensive oral evaluation - new or established patient 72 72 $3K
D0274 Bitewings - four radiographic images 47 47 $2K
D1206 Topical application of fluoride varnish 60 60 $2K
D0220 Intraoral - periapical first radiographic image 83 83 $1K
D0230 Intraoral - periapical each additional radiographic image 117 53 $1K
D1110 Prophylaxis - adult 13 13 $750.88