Medicaid Provider Spending

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

HERITAGE DENTAL CARE LTD

NPI: 1932329638 · NORTHFIELD, MN 55057 · General Practice Dentistry · NPI assigned 04/26/2007

$39K
Total Medicaid Paid
1,464
Total Claims
1,458
Beneficiaries
5
Codes Billed
2018-02
First Month
2024-08
Last Month

Provider Details

Authorized OfficialEHRESMANN, JOHN (OWNER)
NPI Enumeration Date04/26/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 80 $0.00
2019 151 $3K
2020 327 $7K
2021 290 $7K
2022 268 $10K
2023 191 $6K
2024 157 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 457 455 $16K
D0120 Periodic oral evaluation - established patient 781 777 $16K
D0274 Bitewings - four radiographic images 166 166 $4K
D1120 Prophylaxis - child 27 27 $909.28
D1206 Topical application of fluoride varnish 33 33 $778.64