Medicaid Provider Spending

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

NPI: 1992964530 · MOORHEAD, MN 56560 · Dental Clinic/Center · NPI assigned 06/09/2008

$3K
Total Medicaid Paid
88
Total Claims
83
Beneficiaries
2
Codes Billed
2021-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDONABAUER, BRADLY (PRESIDENT)
NPI Enumeration Date06/09/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 13 $221.06
2023 31 $818.48
2024 44 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 62 59 $1K
D1110 Prophylaxis - adult 26 24 $1K