Medicaid Provider Spending

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

QUALE, GILBERTSON & MARTINKA, LTD.

NPI: 1770500464 · WILLMAR, MN 56201 · General Practice Dentistry · NPI assigned 07/17/2006

$66K
Total Medicaid Paid
2,482
Total Claims
2,438
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialQUALE, DEAN (PRESIDENT)
NPI Enumeration Date07/17/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 434 $1K
2019 276 $7K
2020 25 $641.88
2021 222 $6K
2022 402 $13K
2023 625 $22K
2024 498 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,147 1,126 $26K
D1110 Prophylaxis - adult 615 606 $25K
D0274 Bitewings - four radiographic images 240 235 $7K
D1206 Topical application of fluoride varnish 138 133 $3K
D0220 Intraoral - periapical first radiographic image 153 150 $2K
D1120 Prophylaxis - child 54 54 $1K
D0230 Intraoral - periapical each additional radiographic image 135 134 $1K