Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › UT › RIVERTON › MATTHEW JACOBSEN PEDIATRIC DENTISTRY

MATTHEW JACOBSEN PEDIATRIC DENTISTRY

NPI: 1902271539 · RIVERTON, UT 84096 · Pediatric Dentist · NPI assigned 12/08/2015

$0.00
Total Medicaid Paid
86
Total Claims
78
Beneficiaries
2
Codes Billed
2019-01
First Month
2019-12
Last Month

Provider Details

Authorized OfficialJACOBSEN, MATTHEW (PEDIATRIC DENTIST)
NPI Enumeration Date12/08/2015

Related Entities

Other providers sharing the same authorized official: JACOBSEN, MATTHEW

ProviderCityStateTotal Paid
SOUTH HILLS PEDIATRIC DENTAL SPECIALISTS, LLC RIVERTON UT $241K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 86 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 42 38 $0.00
D1206 Topical application of fluoride varnish 44 40 $0.00