Medicaid Provider Spending

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

NPI: 1770213639 · ROSEVILLE, MN 55113 · Dental Clinic/Center · NPI assigned 06/14/2022

$575.11
Total Medicaid Paid
17
Total Claims
13
Beneficiaries
1
Codes Billed
2023-07
First Month
2023-07
Last Month

Provider Details

Authorized OfficialO'SULLIVAN, MAUREEN (ADVANCED DENTAL THERAPIST)
NPI Enumeration Date06/14/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 17 $575.11

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9410 17 13 $575.11