Medicaid Provider Spending

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

NATHANIEL P MUTCH DDS, PLLC

NPI: 1861139214 · LAPEER, MI 48446 · General Practice Dentistry · NPI assigned 05/17/2022

$54K
Total Medicaid Paid
1,811
Total Claims
1,799
Beneficiaries
8
Codes Billed
2022-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMUTCH, NATHANIEL (PRESIDENT)
NPI Enumeration Date05/17/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 206 $6K
2023 945 $29K
2024 660 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 548 546 $21K
D0120 Periodic oral evaluation - established patient 640 640 $16K
D1206 Topical application of fluoride varnish 534 534 $13K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 24 15 $3K
D1110 Prophylaxis - adult 13 13 $585.19
D0220 Intraoral - periapical first radiographic image 27 26 $434.75
D0274 Bitewings - four radiographic images 13 13 $369.59
D0272 Bitewings - two radiographic images 12 12 $223.00