Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › WINONA › RIVER HILLS DENTAL

RIVER HILLS DENTAL

NPI: 1497784342 · WINONA, MN 55987 · General Practice Dentistry · NPI assigned 07/02/2006

$48K
Total Medicaid Paid
2,058
Total Claims
2,030
Beneficiaries
7
Codes Billed
2018-02
First Month
2022-06
Last Month

Provider Details

Authorized OfficialCOOPER, JEFFREY (PRESIDENT)
NPI Enumeration Date07/02/2006

Related Entities

Other providers sharing the same authorized official: COOPER, JEFFREY

ProviderCityStateTotal Paid
MONTGOMERY COUNTY COURT HOUSE DAYTON OH $2.53M
MONTGOMERY COUNTY COURT HOUSE DAYTON OH $1.39M
JEFFREY COOPER OD PC NEW YORK NY $247K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 399 $2K
2019 322 $7K
2020 442 $12K
2021 646 $17K
2022 249 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 540 533 $18K
D0120 Periodic oral evaluation - established patient 797 787 $15K
D1206 Topical application of fluoride varnish 450 441 $7K
D0274 Bitewings - four radiographic images 203 202 $5K
D0150 Comprehensive oral evaluation - new or established patient 27 26 $817.44
D1120 Prophylaxis - child 29 29 $769.95
D0330 Panoramic radiographic image 12 12 $695.70