Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › WADENA › WADENA FAMILY DENTAL, P. A.

WADENA FAMILY DENTAL, P. A.

NPI: 1881864049 · WADENA, MN 56482 · General Practice Dentistry · NPI assigned 03/04/2008

$42K
Total Medicaid Paid
1,290
Total Claims
1,248
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLARSON, WILLIAM (DENTIST)
NPI Enumeration Date03/04/2008

Related Entities

Other providers sharing the same authorized official: LARSON, WILLIAM

ProviderCityStateTotal Paid
TORRANCE MEMORIAL MEDICAL CENTER TORRANCE CA $4.42M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 132 $0.00
2019 42 $1K
2020 15 $413.85
2021 27 $699.23
2022 239 $9K
2023 460 $17K
2024 375 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 774 752 $21K
D1110 Prophylaxis - adult 249 243 $13K
D1120 Prophylaxis - child 160 152 $5K
D1206 Topical application of fluoride varnish 49 48 $1K
D1208 Topical application of fluoride, excluding varnish 43 40 $1K
D0272 Bitewings - two radiographic images 15 13 $463.07