Medicaid Provider Spending

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

CHERYL LARSON, D.D.S. & ASSOCIATES, PLLC

NPI: 1568072213 · LUDINGTON, MI 49431 · Dentist · NPI assigned 08/07/2020

$67K
Total Medicaid Paid
1,507
Total Claims
1,439
Beneficiaries
7
Codes Billed
2020-07
First Month
2022-05
Last Month

Provider Details

Authorized OfficialLARSON, CHERYL (OWNER/ADMINISTRATOR)
NPI Enumeration Date08/07/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 321 $15K
2021 924 $42K
2022 262 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2394 180 115 $27K
D0120 Periodic oral evaluation - established patient 530 530 $13K
D1110 Prophylaxis - adult 274 274 $13K
D1120 Prophylaxis - child 176 176 $6K
D1208 Topical application of fluoride, excluding varnish 256 256 $5K
D0274 Bitewings - four radiographic images 64 64 $2K
D0220 Intraoral - periapical first radiographic image 27 24 $385.75