Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › MONTEVIDEO › GOPLEN, MARISSA

GOPLEN, MARISSA

NPI: 1629459102 · MONTEVIDEO, MN 56265 · General Practice Dentistry · NPI assigned 06/10/2015

$0.00
Total Medicaid Paid
99
Total Claims
98
Beneficiaries
4
Codes Billed
2018-03
First Month
2018-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 99 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 32 32 $0.00
D0120 Periodic oral evaluation - established patient 39 39 $0.00
D1208 Topical application of fluoride, excluding varnish 16 15 $0.00
D1330 12 12 $0.00