Medicaid Provider Spending

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

GELDERMANS, ASHLEY

NPI: 1477901742 · KENTWOOD, MI 49508 · Dentist · NPI assigned 05/27/2016

$10K
Total Medicaid Paid
222
Total Claims
204
Beneficiaries
5
Codes Billed
2018-01
First Month
2018-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 222 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 34 16 $4K
D1120 Prophylaxis - child 64 64 $3K
D1206 Topical application of fluoride varnish 61 61 $1K
D0120 Periodic oral evaluation - established patient 40 40 $1K
D0150 Comprehensive oral evaluation - new or established patient 23 23 $1K