Medicaid Provider Spending

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

MILLE LACS BAND OF OJIBWE INDIANS

NPI: 1902941727 · ONAMIA, MN 56359 · General Practice Dentistry · NPI assigned 02/20/2007

$1.87
Total Medicaid Paid
363
Total Claims
348
Beneficiaries
6
Codes Billed
2018-02
First Month
2020-01
Last Month

Provider Details

Authorized OfficialANDERSON, NICOLE (COMMISSIONER OF HEALTH & HUMAN SERV)
Parent OrganizationMILLE LACS BAND OF OJIBWE INDIANS
NPI Enumeration Date02/20/2007

Related Entities

Other providers sharing the same authorized official: ANDERSON, NICOLE

ProviderCityStateTotal Paid
MILLE LACS BAND OF OJIBWE INDIANS BRAINERD MN $17.50M
MILLE LACS BAND OF OJIBWE INDIANS ONAMIA MN $9.92M
MILLE LACS BAND OF OJIBWE INDIANS ONAMIA MN $6.10M
MILLE LACS BAND OF OJIBWE INDIANS ONAMIA MN $1.18M
MILLE LACS BAND OF OJIBWE INDIANS ONAMIA MN $649K
NEVADA SPEECH AND THERAPY GROUP RENO NV $384K
MILLE LACS BAND OF OJIBWE INDIANS ONAMIA MN $204K
MILLE LACS BAND OF OJIBWE INDIANS HINCKLEY MN $26K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 248 $0.00
2019 81 $0.00
2020 34 $1.87

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 122 116 $1.35
D0220 Intraoral - periapical first radiographic image 133 124 $0.52
D1120 Prophylaxis - child 25 25 $0.00
D1206 Topical application of fluoride varnish 27 27 $0.00
D0120 Periodic oral evaluation - established patient 44 44 $0.00
D0272 Bitewings - two radiographic images 12 12 $0.00