Medicaid Provider Spending

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

TOLLEFSON, STEVEN

NPI: 1407887417 · LANSE, MI 49946 · Dentist · NPI assigned 07/06/2006

$26K
Total Medicaid Paid
794
Total Claims
793
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 85 $2K
2019 91 $3K
2020 73 $3K
2021 180 $6K
2022 165 $6K
2023 157 $6K
2024 43 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 560 559 $15K
D1110 Prophylaxis - adult 195 195 $10K
D1120 Prophylaxis - child 26 26 $1K
D1208 Topical application of fluoride, excluding varnish 13 13 $312.00