Medicaid Provider Spending

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

AFTON ROAD DENTAL ASSOC

NPI: 1518026806 · ST PAUL, MN 55119 · General Practice Dentistry · NPI assigned 12/06/2006

$0.00
Total Medicaid Paid
28
Total Claims
28
Beneficiaries
2
Codes Billed
2018-08
First Month
2018-08
Last Month

Provider Details

Authorized OfficialANDERSON, SUSAN (OWNER)
NPI Enumeration Date12/06/2006

Related Entities

Other providers sharing the same authorized official: ANDERSON, SUSAN

ProviderCityStateTotal Paid
AJI INC. PATERSON NJ $286K
ANDERSON CHIROPRACTIC INC NORTH LIBERTY IA $61K
FAMILY HEALTH CARE OF GALLATIN GALLATIN TN $950.50

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 16 16 $0.00
D1120 Prophylaxis - child 12 12 $0.00