Dental
Cannon, Michelle
Cannon, Michelle was paid $14K by Medicaid between Jan 2018 and Dec 2019, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 36% of everything it billed.
33Billing provider infoCANNON, MICHELLE
SUPERIOR, WI 54880
SUPERIOR, WI 54880
33aNPI1063797959assigned 10/11/2011
33bProvider typeDental Hygienist
28Total paid$14K
24GClaims1,406
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Dental Hygienist providers in Wisconsin
Rank by total paid#87 of 141
Median peer was paid$28K
This provider vs. median0.5×
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 | 723 | $7K | |
| 2019 | 683 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 36% | 235 | 235 | $5K |
| D1206 | Topical application of fluoride varnish | 34% | 385 | 385 | $5K |
| D0191 | 28% | 386 | 386 | $4K | |
| D1110 | Prophylaxis - adult | 2.5% | 13 | 13 | $341.08 |
| D1330 | 0% | 387 | 387 | $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.