Medicaid Provider Spending

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

GRANITE FALLS FAMILY DENTISTRY

NPI: 1790088680 · GRANITE FALLS, MN 56241 · General Practice Dentistry · NPI assigned 12/15/2010

$74K
Total Medicaid Paid
2,413
Total Claims
2,394
Beneficiaries
4
Codes Billed
2019-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialZENK, JAMES (SENIOR PARTNER)
Parent OrganizationMONTEVIDEO FAMILY DENTISTRY, P.A.
NPI Enumeration Date12/15/2010

Related Entities

Other providers sharing the same authorized official: ZENK, JAMES

ProviderCityStateTotal Paid
MONTEVIDEO FAMILY DENTISTRY PA MONTEVIDEO MN $167K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 413 $10K
2020 258 $6K
2021 483 $12K
2022 384 $14K
2023 486 $17K
2024 389 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,266 1,255 $38K
D1110 Prophylaxis - adult 318 316 $16K
D1206 Topical application of fluoride varnish 630 626 $15K
D1120 Prophylaxis - child 199 197 $5K