Medicaid Provider Spending

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

MODERN DENTAL PROFESSIONALS, MN PC

NPI: 1679853451 · RENVILLE, MN 56284 · General Practice Dentistry · NPI assigned 08/24/2011

$24K
Total Medicaid Paid
1,620
Total Claims
1,601
Beneficiaries
6
Codes Billed
2018-02
First Month
2021-01
Last Month

Provider Details

Authorized OfficialMYER, JAMES (CFO)
NPI Enumeration Date08/24/2011

Related Entities

Other providers sharing the same authorized official: MYER, JAMES

ProviderCityStateTotal Paid
MODERN DENTAL PROFESSIONALS MINNESOTA PC VICTORIA MN $7K
MODERN DENTAL PROFESSIONALS MINNESOTA PC MANKATO MN $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 822 $3K
2019 643 $17K
2020 142 $3K
2021 13 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 508 504 $9K
D1120 Prophylaxis - child 434 428 $8K
D1206 Topical application of fluoride varnish 535 527 $7K
D0274 Bitewings - four radiographic images 63 63 $473.96
D1110 Prophylaxis - adult 53 53 $0.00
D1999 27 26 $0.00