Medicaid Provider Spending

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

MAPLEWOOD DENTAL ASSOCIATES PA

NPI: 1619065539 · MAPLEWOOD, MN 55109 · Dentist · NPI assigned 10/10/2006

$39K
Total Medicaid Paid
1,441
Total Claims
1,404
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPROKOSCH, RICHARD (PRESIDENT)
NPI Enumeration Date10/10/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 142 $526.03
2019 197 $5K
2020 148 $3K
2021 374 $8K
2022 232 $9K
2023 173 $7K
2024 175 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 606 591 $23K
D0120 Periodic oral evaluation - established patient 525 515 $10K
D1206 Topical application of fluoride varnish 223 211 $5K
D0274 Bitewings - four radiographic images 75 75 $2K
D0220 Intraoral - periapical first radiographic image 12 12 $96.67