CENTRAL LAKES COMMUNITY DENTAL CLINIC
NPI: 1467508226
· BRAINERD, MN 56401
· 1223D0001X
$306K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
3,324 |
$25K |
| 2019 |
3,361 |
$50K |
| 2020 |
2,114 |
$34K |
| 2021 |
3,343 |
$47K |
| 2022 |
4,051 |
$50K |
| 2023 |
5,105 |
$61K |
| 2024 |
2,784 |
$39K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
|
6,290 |
5,995 |
$139K |
| D9920 |
|
1,788 |
1,478 |
$35K |
| D0120 |
|
3,595 |
3,209 |
$34K |
| D0274 |
|
2,317 |
2,046 |
$28K |
| D1206 |
|
2,588 |
2,262 |
$25K |
| D0140 |
|
1,110 |
1,047 |
$16K |
| D0220 |
|
2,694 |
2,390 |
$13K |
| D0230 |
|
3,507 |
1,209 |
$11K |
| D2392 |
|
47 |
38 |
$2K |
| D2150 |
|
37 |
28 |
$2K |
| D2391 |
|
27 |
24 |
$828.03 |
| D1120 |
|
49 |
49 |
$635.38 |
| D2331 |
|
12 |
12 |
$498.30 |
| D0190 |
|
21 |
20 |
$0.00 |