Medicaid Provider Spending

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

MADISON-NELSON FAMILY DENTISTRY

NPI: 1619064557 · DULUTH, MN 55802 · General Practice Dentistry · NPI assigned 10/10/2006

$64K
Total Medicaid Paid
2,586
Total Claims
2,534
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMADISON, GARY (DENTIST)
NPI Enumeration Date10/10/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 429 $479.07
2019 403 $12K
2020 447 $7K
2021 500 $13K
2022 382 $15K
2023 238 $10K
2024 187 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 808 801 $32K
D0120 Periodic oral evaluation - established patient 1,248 1,237 $27K
D0274 Bitewings - four radiographic images 75 75 $2K
D1206 Topical application of fluoride varnish 136 136 $2K
D1120 Prophylaxis - child 52 52 $716.85
D1999 267 233 $0.00