Mattson Dental, PLLC

Mattson Dental, PLLC was paid $1K by Medicaid between Jul 2021 and Aug 2023, across 2 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 50% of everything it billed.

33Billing provider infoMATTSON DENTAL, PLLC
GRAND RAPIDS, MI 49546

33aNPI1437740313assigned 02/02/2021

33bProvider typeCustomized Equipment (DME)

28Total paid$1K

24GClaims64

24DCodes billed2

24AFirst – last monthJul 2021 – Aug 2023

Compared with peers

Next to other Customized Equipment (DME) providers in Michigan

Rank by total paid#59 of 60

Median peer was paid$271K

This provider vs. median0.0×

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
2021	24	$472.63
2022	12	$162.30
2023	28	$610.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	50%	38	38	$625.62
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	50%	26	26	$619.31

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 officialBOLLINGER, CARMEN (PRACTICE MANAGER)