Medicaid Provider Spending

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

DEVRIES, DEREK

NPI: 1922489194 · KENTWOOD, MI 49508 · General Practice Dentistry · NPI assigned 06/14/2015

$7K
Total Medicaid Paid
313
Total Claims
313
Beneficiaries
5
Codes Billed
2018-01
First Month
2019-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 216 $5K
2019 97 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 175 175 $4K
D1120 Prophylaxis - child 41 41 $1K
D1110 Prophylaxis - adult 30 30 $964.62
D1206 Topical application of fluoride varnish 53 53 $878.24
D0220 Intraoral - periapical first radiographic image 14 14 $111.60