Appeldoorn, Jerome

Appeldoorn, Jerome was paid $4K by Medicaid between Jan 2018 and Nov 2018, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 41% of everything it billed.

33Billing provider infoAPPELDOORN, JEROME
NORTHFIELD, MN 55057

33aNPI1154345247assigned 07/26/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$4K

24GClaims1,041

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2018

Compared with peers

Next to other General Practice Dentistry providers in Minnesota

Rank by total paid#243 of 368

Median peer was paid$19K

This provider vs. median0.2×

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

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

Year	Claims	Paid
2018	1,041	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	41%	308	308	$2K
D1330		34%	343	343	$1K
D1206	Topical application of fluoride varnish	25%	365	365	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	0%	12	12	$0.00
D1110	Prophylaxis - adult	0%	13	13	$0.00

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.