Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › MANKATO › MADISON AVENUE FAMILY DENTAL CENTER, LTD

MADISON AVENUE FAMILY DENTAL CENTER, LTD

NPI: 1912920059 · MANKATO, MN 56001 · Dentist · NPI assigned 07/26/2006

$1K
Total Medicaid Paid
40
Total Claims
39
Beneficiaries
2
Codes Billed
2021-01
First Month
2023-05
Last Month

Provider Details

Authorized OfficialTORBENSON, KEVIN (CO-OWNER)
NPI Enumeration Date07/26/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 28 $676.89
2023 12 $635.93

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 28 27 $1K
D0120 Periodic oral evaluation - established patient 12 12 $196.19