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METROPOLITAN PEDIATRIC DENTAL ASSOCIATES, LTD
METROPOLITAN PEDIATRIC DENTAL ASSOCIATES, LTD
NPI: 1912056961
· EAGAN, MN 55121
· Pediatric Dentist
· NPI assigned 01/09/2007
$494K
Total Medicaid Paid
Provider Details
| Authorized Official | NICKMAN, JAMES (PRESIDENT) |
| Parent Organization | METROPOLITAN PEDIATRIC DENTAL ASSOCIATES, LTD |
| NPI Enumeration Date | 01/09/2007 |
Related Entities
Other providers sharing the same authorized official: NICKMAN, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,930 |
$18K |
| 2019 |
5,245 |
$116K |
| 2020 |
1,575 |
$34K |
| 2021 |
3,406 |
$77K |
| 2022 |
2,484 |
$98K |
| 2023 |
2,359 |
$90K |
| 2024 |
1,780 |
$61K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
6,598 |
6,573 |
$155K |
| D1206 |
Topical application of fluoride varnish |
5,593 |
5,572 |
$107K |
| D1110 |
Prophylaxis - adult |
2,273 |
2,267 |
$81K |
| D1120 |
Prophylaxis - child |
3,403 |
3,387 |
$71K |
| D0274 |
Bitewings - four radiographic images |
1,138 |
1,135 |
$32K |
| D0272 |
Bitewings - two radiographic images |
1,754 |
1,747 |
$29K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
912 |
862 |
$9K |
| D1351 |
Sealant - per tooth |
480 |
124 |
$8K |
| D0330 |
Panoramic radiographic image |
39 |
39 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
567 |
567 |
$622.20 |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
22 |
17 |
$0.00 |