Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MATTHEW R VANDERLAAN DDS PLLC
NPI: 1083129910 · BYRON CENTER, MI 49315 ·
Dentist
· NPI assigned 12/14/2017
$5K
Total Medicaid Paid
184
Total Claims
184
Beneficiaries
3
Codes Billed
2020-08
First Month
2021-10
Last Month
Provider Details
Authorized Official
VANDERLAAN, MATTHEW
(OWNER/DENTIST)
NPI Enumeration Date
12/14/2017
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2020
119
$3K
2021
65
$2K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
Periodic oral evaluation - established patient
78
78
$2K
D1120
Prophylaxis - child
50
50
$2K
D1206
Topical application of fluoride varnish
56
56
$1K