Medicaid Provider Spending

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

RIVER OAKS DENTAL

NPI: 1780920256 · AITKIN, MN 56431 · General Practice Dentistry · NPI assigned 01/02/2013

$17K
Total Medicaid Paid
935
Total Claims
931
Beneficiaries
5
Codes Billed
2018-01
First Month
2021-11
Last Month

Provider Details

Authorized OfficialFLEMING, SEAN (OWNER)
NPI Enumeration Date01/02/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 289 $244.24
2019 270 $7K
2020 263 $7K
2021 113 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 540 536 $8K
D1110 Prophylaxis - adult 186 186 $5K
D1206 Topical application of fluoride varnish 113 113 $1K
D0274 Bitewings - four radiographic images 70 70 $889.54
D1120 Prophylaxis - child 26 26 $690.30