Medicaid Provider Spending

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

MODERN DENTAL PROFESSIONALS MINNESOTA PC

NPI: 1912212606 · MANKATO, MN 56001 · Dentist · NPI assigned 08/18/2010

$1K
Total Medicaid Paid
57
Total Claims
55
Beneficiaries
2
Codes Billed
2018-03
First Month
2018-04
Last Month

Provider Details

Authorized OfficialMYER, JAMES (CFO)
NPI Enumeration Date08/18/2010

Related Entities

Other providers sharing the same authorized official: MYER, JAMES

ProviderCityStateTotal Paid
MODERN DENTAL PROFESSIONALS, MN PC RENVILLE MN $24K
MODERN DENTAL PROFESSIONALS MINNESOTA PC VICTORIA MN $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 57 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 31 30 $756.83
D0120 Periodic oral evaluation - established patient 26 25 $315.48