GROUP HEALTH PLAN, INC
NPI: 1801173489
· BLOOMINGTON, MN 55425
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 11/09/2011
$4.17M
Total Medicaid Paid
Provider Details
| Authorized Official | GESKO, DAVID (DENTAL DIRECTOR AND SENIOR VP) |
| NPI Enumeration Date | 11/09/2011 |
Related Entities
Other providers sharing the same authorized official: GESKO, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
5,550 |
$130K |
| 2019 |
5,826 |
$954K |
| 2020 |
4,326 |
$702K |
| 2021 |
4,525 |
$731K |
| 2022 |
3,686 |
$867K |
| 2023 |
2,452 |
$488K |
| 2024 |
2,107 |
$302K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
21,256 |
21,200 |
$3.58M |
| D8060 |
|
1,589 |
1,587 |
$200K |
| D0330 |
Panoramic radiographic image |
1,993 |
1,983 |
$188K |
| D0350 |
|
2,853 |
2,840 |
$109K |
| D8090 |
|
781 |
778 |
$96K |