Medicaid Provider Spending

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

NPI: 1548426422 · BURNSVILLE, MN 55337 · Pediatric Dentist · NPI assigned 07/31/2008

$67K
Total Medicaid Paid
3,583
Total Claims
3,493
Beneficiaries
6
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialGREENWOOD, MARK (TREASURER)
NPI Enumeration Date07/31/2008

Related Entities

Other providers sharing the same authorized official: GREENWOOD, MARK

ProviderCityStateTotal Paid
AFFILIATED PEDIATRIC DENTISTS PA MINNETONKA MN $36K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 590 $12K
2019 607 $13K
2020 782 $12K
2021 716 $12K
2022 609 $12K
2023 279 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,187 1,164 $31K
D1206 Topical application of fluoride varnish 1,137 1,114 $22K
D1120 Prophylaxis - child 514 507 $13K
D1110 Prophylaxis - adult 26 26 $877.72
D1999 247 237 $20.86
D9985 472 445 $0.00