Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Cavanaugh Dental PLLC

Cavanaugh Dental PLLC was paid $128K by Medicaid between Oct 2019 and Mar 2023, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.

33Billing provider infoCAVANAUGH DENTAL PLLC
LANSING, MI 48910
33aNPI1124584396assigned 02/13/2019
33bProvider typeDentist
28Total paid$128K
24GClaims3,611
24DCodes billed12
24AFirst – last monthOct 2019 – Mar 2023
Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#240 of 1,033
Median peer was paid$15K
This provider vs. median8.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201952$1K
2020195$6K
2021865$27K
20222,073$75K
2023426$17K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 22% 612 610 $28K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 21% 256 161 $27K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 11% 602 601 $14K
D2391 Resin-based composite - one surface, posterior, primary or permanent 10% 158 109 $13K
D0150 Comprehensive oral evaluation - new or established patient 8.2% 286 286 $10K
D1120 Dental cleaning, childProphylaxis - child 7.4% 250 250 $9K
D1206 Topical application of fluoride varnish 7.3% 501 501 $9K
D0220 Intraoral - periapical first radiographic image 4.6% 437 432 $6K
D0274 Bitewings - four radiographic images 3.3% 156 156 $4K
D0140 Limited oral evaluation - problem focused 2.3% 79 79 $3K
D0230 Intraoral - periapical each additional radiographic image 1.4% 249 225 $2K
D0210 Intraoral - complete series of radiographic images 1.1% 25 25 $1K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialDERKSEN, DANIEL (MEMBER)
Same official

Other billing entities under DERKSEN, DANIEL

Full network →
ProviderLocationPaid
Daniel J. Derksen, DDS, PLLCLansing, MI$15K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.