Cannon, Matthew

Cannon, Matthew was paid $10K by Medicaid between Jan 2018 and Sep 2019, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 60% of everything it billed.

33Billing provider infoCANNON, MATTHEW
BETTENDORF, IA 52722

33aNPI1689635518assigned 03/30/2006

33bProvider typeDentist

28Total paid$10K

24GClaims611

24DCodes billed4

24AFirst – last monthJan 2018 – Sep 2019

Compared with peers

Next to other Dentist providers in Iowa

Rank by total paid#172 of 268

Median peer was paid$26K

This provider vs. median0.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	393	$6K
2019	218	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	60%	418	381	$6K
D1120	Dental cleaning, childProphylaxis - child	33%	151	140	$3K
D1206	Topical application of fluoride varnish	4.0%	29	27	$386.91
D1110	Prophylaxis - adult	3.0%	13	12	$291.75

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.