Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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BLAINE KIDDS PEDIATRIC DENTISTRY PLLC

NPI: 1538678057 · BLAINE, MN 55434 · Pediatric Dentist · NPI assigned 09/27/2017

$12K
Total Medicaid Paid
610
Total Claims
597
Beneficiaries
3
Codes Billed
2019-08
First Month
2024-08
Last Month

Provider Details

Authorized OfficialRINDELAUB, DARCY (OWNER)
NPI Enumeration Date09/27/2017

Related Entities

Other providers sharing the same authorized official: RINDELAUB, DARCY

ProviderCityStateTotal Paid
NEW RICHMOND KIDDS PEDIATRIC DENTISTRY LLC NEW RICHMOND WI $407K
ST. CROIX KIDDS PEDIATRIC DENTISTRY WHITE BEAR LAKE MN $122K
RIVERDALE PEDIATRIC DENTISTRY P.A. COON RAPIDS MN $16K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 28 $490.80
2020 25 $375.36
2021 361 $6K
2022 132 $4K
2023 37 $681.02
2024 27 $779.49

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 228 223 $4K
D0120 Periodic oral evaluation - established patient 194 191 $4K
D1206 Topical application of fluoride varnish 188 183 $3K