Medicaid Provider Spending

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

CANNON, MATTHEW

NPI: 1689635518 · BETTENDORF, IA 52722 · Dentist · NPI assigned 03/30/2006

$10K
Total Medicaid Paid
611
Total Claims
560
Beneficiaries
4
Codes Billed
2018-01
First Month
2019-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 393 $6K
2019 218 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 418 381 $6K
D1120 Prophylaxis - child 151 140 $3K
D1206 Topical application of fluoride varnish 29 27 $386.91
D1110 Prophylaxis - adult 13 12 $291.75