Medicaid Provider Spending

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

GREGORY D. LISKA DDS AND DARREN E. HOVLAND DDS, LTD

NPI: 1568591139 · PLYMOUTH, MN 55441 · General Practice Dentistry · NPI assigned 03/02/2007

$38K
Total Medicaid Paid
1,392
Total Claims
1,383
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLISKA, GREGORY (PRINCIPAL)
NPI Enumeration Date03/02/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 222 $381.33
2019 110 $3K
2020 205 $5K
2021 346 $9K
2022 249 $11K
2023 164 $7K
2024 96 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 652 651 $24K
D0120 Periodic oral evaluation - established patient 617 616 $13K
D0274 Bitewings - four radiographic images 51 51 $983.04
D1208 Topical application of fluoride, excluding varnish 53 53 $798.30
D1999 19 12 $0.00