Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MINNESOTA STATE COLLEGES AND UNIVERSITIES - ROCHESTER COMMUNITY & TECH

NPI: 1942475330 · ROCHESTER, MN 55904 · Dental Clinic/Center · NPI assigned 04/25/2008

Deactivated NPI · This NPI was deactivated on 06/03/2008. Reactivated 07/24/2008.
$11K
Total Medicaid Paid
425
Total Claims
422
Beneficiaries
2
Codes Billed
2021-02
First Month
2023-10
Last Month

Provider Details

Authorized OfficialHIGH, ANNE (DIRECTOR OF DENTAL HYGIENE)
NPI Enumeration Date04/25/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 190 $4K
2022 139 $4K
2023 96 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 196 195 $9K
D1206 Topical application of fluoride varnish 229 227 $2K