Medicaid Provider Spending

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

AMANDA L. HYLAND D.D.S. P.A

NPI: 1780108209 · MANKATO, MN 56001 · Dental Clinic/Center · NPI assigned 07/26/2017

$1K
Total Medicaid Paid
71
Total Claims
71
Beneficiaries
3
Codes Billed
2020-08
First Month
2021-09
Last Month

Provider Details

Authorized OfficialHYLAND, AMANDA (GENERAL DENTIST)
NPI Enumeration Date07/26/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 42 $742.31
2021 29 $498.39

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 44 44 $732.56
D1110 Prophylaxis - adult 12 12 $303.37
D1206 Topical application of fluoride varnish 15 15 $204.77