Medicaid Provider Spending

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

DR JOHN W CRETZMEYER JR DDS PA

NPI: 1730346636 · FRIDLEY, MN 55432 · Dentist · NPI assigned 05/19/2008

$39K
Total Medicaid Paid
2,947
Total Claims
2,790
Beneficiaries
8
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialCRETZMEYER, JOHN (DDS)
NPI Enumeration Date05/19/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 196 $257.74
2019 228 $4K
2020 821 $8K
2021 1,276 $11K
2022 398 $13K
2023 28 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 480 479 $17K
D0120 Periodic oral evaluation - established patient 763 761 $15K
D0274 Bitewings - four radiographic images 182 182 $5K
D1206 Topical application of fluoride varnish 50 50 $1K
D1120 Prophylaxis - child 14 14 $322.00
D0220 Intraoral - periapical first radiographic image 16 15 $140.71
D1999 656 593 $0.00
D9985 786 696 $0.00