Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

INTEGRA DENTAL PA

NPI: 1508201997 · ANDOVER, MN 55304 · Dentist · NPI assigned 04/30/2013

$2K
Total Medicaid Paid
145
Total Claims
142
Beneficiaries
4
Codes Billed
2018-03
First Month
2024-02
Last Month

Provider Details

Authorized OfficialANDERSLAND, GINA (OWNER/DENTIST)
NPI Enumeration Date04/30/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 44 $0.00
2020 12 $0.00
2021 30 $492.91
2023 44 $1K
2024 15 $440.88

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 93 91 $2K
D1206 28 27 $356.56
D1999 12 12 $0.00
D1110 12 12 $0.00