Medicaid Provider Spending

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

THOMAS M DEWERD DDS PA

NPI: 1922099845 · ROBBINSDALE, MN 55422 · Dentist · NPI assigned 10/31/2005

$6K
Total Medicaid Paid
2,583
Total Claims
1,930
Beneficiaries
8
Codes Billed
2018-01
First Month
2019-01
Last Month

Provider Details

Authorized OfficialDEWERD, THOMAS (PRESIDENT)
NPI Enumeration Date10/31/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,561 $5K
2019 22 $634.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 572 383 $2K
D1110 Prophylaxis - adult 313 313 $1K
D0120 Periodic oral evaluation - established patient 248 248 $523.16
D0220 Intraoral - periapical first radiographic image 363 308 $399.41
D1206 Topical application of fluoride varnish 231 231 $302.23
D0277 190 190 $297.18
D0230 Intraoral - periapical each additional radiographic image 652 243 $289.69
D1120 Prophylaxis - child 14 14 $0.00