Medicaid Provider Spending

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

VANDERLAAN, MATTHEW

NPI: 1609003987 · BYRON CENTER, MI 49315 · General Practice Dentistry · NPI assigned 06/15/2009

$4K
Total Medicaid Paid
162
Total Claims
162
Beneficiaries
4
Codes Billed
2018-04
First Month
2020-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 122 $3K
2019 12 $286.91
2020 28 $485.12

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 101 101 $2K
D1110 Prophylaxis - adult 15 15 $657.00
D1120 Prophylaxis - child 16 16 $640.00
D1206 Topical application of fluoride varnish 30 30 $552.77