Medicaid Provider Spending

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

DANIEL J. DERKSEN, DDS, PLLC

NPI: 1962752725 · LANSING, MI 48912 · General Practice Dentistry · NPI assigned 09/19/2012

$15K
Total Medicaid Paid
601
Total Claims
601
Beneficiaries
5
Codes Billed
2019-05
First Month
2022-11
Last Month

Provider Details

Authorized OfficialDERKSEN, DANIEL (MEMBER)
NPI Enumeration Date09/19/2012

Related Entities

Other providers sharing the same authorized official: DERKSEN, DANIEL

ProviderCityStateTotal Paid
CAVANAUGH DENTAL PLLC LANSING MI $128K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 53 $1K
2020 135 $4K
2021 262 $6K
2022 151 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 341 341 $8K
D1120 Prophylaxis - child 98 98 $3K
D1206 Topical application of fluoride varnish 132 132 $3K
D1110 Prophylaxis - adult 17 17 $621.00
D0274 Bitewings - four radiographic images 13 13 $305.00