Medicaid Provider Spending

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

THIEF RIVER FALLS FAMILY DENTISTRY

NPI: 1811255870 · THIEF RIVER FALLS, MN 56701 · Dentist · NPI assigned 04/27/2012

$9K
Total Medicaid Paid
382
Total Claims
374
Beneficiaries
5
Codes Billed
2020-07
First Month
2024-10
Last Month

Provider Details

Authorized OfficialEICKMAN, MICHAEL (PRESIDENT)
NPI Enumeration Date04/27/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 62 $290.01
2021 106 $2K
2022 66 $3K
2023 81 $3K
2024 67 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 196 196 $6K
D1110 Prophylaxis - adult 26 26 $2K
D1206 Topical application of fluoride varnish 57 57 $1K
D1120 Prophylaxis - child 25 25 $837.82
D1999 78 70 $0.00