Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › GRANDVILLE › DRAFT, DEREK

DRAFT, DEREK

NPI: 1508812108 · GRANDVILLE, MI 49418 · General Practice Dentistry · NPI assigned 05/25/2006

$480.00
Total Medicaid Paid
12
Total Claims
12
Beneficiaries
1
Codes Billed
2018-04
First Month
2018-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $480.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 12 12 $480.00