Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › INDEPENDENCE › MINT DENTAL INDEPENDENCE, LLC.

MINT DENTAL INDEPENDENCE, LLC.

NPI: 1609504471 · INDEPENDENCE, MO 64050 · Dental Clinic/Center · NPI assigned 08/10/2022

$4K
Total Medicaid Paid
173
Total Claims
146
Beneficiaries
4
Codes Billed
2023-06
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDOBBINS, WAYNE (CEO)
NPI Enumeration Date08/10/2022

Related Entities

Other providers sharing the same authorized official: DOBBINS, WAYNE

ProviderCityStateTotal Paid
SWEET TOOTH SHAWNEE, LLC SHAWNEE KS $860K
SWEET TOOTH OLATHE, LLC OLATHE KS $852K
SWEET TOOTH PEDIATRIC DENTISTRY & ORTHODONTIC SPECIALISTS LLC OVERLAND PARK KS $336K
SWEET TOOTH BARRY KANSAS CITY MO $78K
MINT DENTAL ANTIOCH LLC OVERLAND PARK KS $34K
MINT DENTAL OAK PARK, LLC. LENEXA KS $12K
SWEET TOOTH SHAWNEE ORTHODONTICS, LLC SHAWNEE KS $616.94

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 77 $2K
2024 96 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 65 53 $2K
D0220 Intraoral - periapical first radiographic image 79 69 $1K
D1110 Prophylaxis - adult 12 12 $428.00
D0230 Intraoral - periapical each additional radiographic image 17 12 $348.00