Vanderpoel, Jennifer

Vanderpoel, Jennifer was paid $3K by Medicaid between Jan 2018 and Dec 2018, across 11 billing codes. Its largest line is D9920, — 21% of everything it billed.

33Billing provider infoVANDERPOEL, JENNIFER
MORA, MN 55051

33aNPI1881785806assigned 09/27/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$3K

24GClaims1,473

24DCodes billed11

24AFirst – last monthJan 2018 – Dec 2018

Compared with peers

Next to other General Practice Dentistry providers in Minnesota

Rank by total paid#255 of 368

Median peer was paid$19K

This provider vs. median0.2×

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	1,473	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9920		21%	12	12	$612.28
D1120	Dental cleaning, childProphylaxis - child	21%	281	266	$603.54
D1206	Topical application of fluoride varnish	21%	268	249	$599.11
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	20%	324	307	$597.68
D0274	Bitewings - four radiographic images	17%	154	154	$507.66
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	0%	41	13	$0.00
D0150	Comprehensive oral evaluation - new or established patient	0%	59	59	$0.00
D1351	Sealant - per tooth	0%	56	18	$0.00
D1110	Prophylaxis - adult	0%	114	106	$0.00
D0330	Panoramic radiographic image	0%	111	101	$0.00
D0220	Intraoral - periapical first radiographic image	0%	53	52	$0.00

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.