Clinic
Kortni Matteson DDS PLLC
Kortni Matteson DDS PLLC was paid $1K by Medicaid between Jun 2023 and Feb 2024, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 86% of everything it billed.
33Billing provider infoKORTNI MATTESON DDS PLLC
MIDDLEVILLE, MI 49333
MIDDLEVILLE, MI 49333
33aNPI1477292449assigned 05/30/2022
33bProvider typeDental Clinic/Center
28Total paid$1K
24GClaims62
24DCodes billed2
24AFirst – last monthJun 2023 – Feb 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#360 of 431
Median peer was paid$24K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2023 | 26 | $720.00 | |
| 2024incomplete | 36 | $754.25 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 86% | 50 | 50 | $1K |
| D1206 | Topical application of fluoride varnish | 14% | 12 | 12 | $210.00 |
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.
From NPPES
Who's on the registration
Authorized officialMATTESON, KORTNI (OWNER)