Medicaid Provider Spending

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

NPI: 1477292449 · MIDDLEVILLE, MI 49333 · Dental Clinic/Center · NPI assigned 05/30/2022

$1K
Total Medicaid Paid
62
Total Claims
62
Beneficiary Records
2
Codes Billed
2023-06
First Month
2024-02
Last Month

Provider Details

Authorized OfficialMATTESON, KORTNI (OWNER)
NPI Enumeration Date05/30/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 26 $720.00
2024 36 $754.25

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D0120 Periodic oral evaluation - established patient 50 50 $1K
D1206 Topical application of fluoride varnish 12 12 $210.00