JODI MARIE BURTH DDS
NPI 1699977058
Dentist - General Practice in Maple Grove, MN

Active since June 05, 2007PECOS Enrolled
11256 86TH AVE N, MAPLE GROVE, MN 55369(763) 493-9446(763) 493-3045 Get Directions Write a Review

NPPES record last updated: August 7, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jodi Marie Burth Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JODI MARIE BURTH DDS (NPI 1699977058) is an individual general practice provider in Maple Grove, Minnesota, licensed in Minnesota (D112384) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699977058
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJODI MARIE BURTHCredential: DDS
Location Address11256 86TH AVE NMaple Grove, MN 55369
Mailing Address11256 86th Ave NMaple Grove, MN 55369 · (763) 493-9446 · Fax (763) 493-3045
Fax(763) 493-3045
Sole ProprietorYes
Enumeration DateJune 5, 2007
Last NPPES UpdateAugust 7, 2007
NPI 1699977058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MN · D112384
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
11256 86TH AVE N, Maple Grove, MN 55369

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jodi Marie Burth Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55369 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jodi Burth's NPI number?

The NPI number for Jodi Burth is 1699977058. It was assigned to this individual provider in the NPPES registry on June 5, 2007.

Where is Jodi Burth located?

Jodi Burth practices at 11256 86th Ave N, Maple Grove, MN 55369. The listed phone number is (763) 493-9446.

What is Jodi Burth's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jodi Burth enrolled in Medicare?

Yes. Jodi Burth is registered in the Medicare PECOS enrollment system.

What insurance does Jodi Burth accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Jodi Burth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jodi Burth was last updated on August 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.