Medicaid Provider Spending

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

SHETEK DENTAL CARE PA

NPI: 1710215793 · SLAYTON, MN 56172 · General Practice Dentistry · NPI assigned 12/02/2009

$84K
Total Medicaid Paid
2,261
Total Claims
2,232
Beneficiaries
5
Codes Billed
2018-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHULSTEIN, NARLA (CLINIC MANAGER)
NPI Enumeration Date12/02/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 315 $3K
2019 262 $10K
2020 228 $9K
2021 423 $17K
2022 362 $17K
2023 441 $20K
2024 230 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 714 704 $38K
D0120 Periodic oral evaluation - established patient 1,095 1,083 $33K
D1206 Topical application of fluoride varnish 344 338 $9K
D0274 Bitewings - four radiographic images 56 55 $2K
D1208 Topical application of fluoride, excluding varnish 52 52 $1K