Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › BEMIDJI › GREAT RIVER DENTISTRY OF BEMIDJI, PLLC

GREAT RIVER DENTISTRY OF BEMIDJI, PLLC

NPI: 1982156147 · BEMIDJI, MN 56601 · Dental Clinic/Center · NPI assigned 11/03/2016

$2K
Total Medicaid Paid
245
Total Claims
219
Beneficiaries
3
Codes Billed
2018-04
First Month
2024-04
Last Month

Provider Details

Authorized OfficialWILLIAMS-FURFARO, BARET (OWNER DDS)
NPI Enumeration Date11/03/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28 $16.44
2019 12 $195.12
2020 12 $0.00
2021 133 $232.64
2022 26 $649.06
2024 34 $757.16

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 69 64 $1K
D0120 Periodic oral evaluation - established patient 43 39 $653.17
D1999 133 116 $0.00