Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Grand Rapids › NPI 1164659900
Dental

Hamilton, Veronica

Hamilton, Veronica was paid $1.32M by Medicaid between Jan 2018 and Jun 2020, across 25 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 35% of everything it billed.

33Billing provider infoHAMILTON, VERONICA
GRAND RAPIDS, MI 49525
33aNPI1164659900assigned 06/19/2009
33bProvider typePediatric Dentist
28Total paid$1.32M
24GClaims18,484
24DCodes billed25
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers

Next to other Pediatric Dentist providers in Michigan

Rank by total paid#47 of 153
Median peer was paid$464K
This provider vs. median2.8×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20188,284$583K
20197,986$591K
20202,214$144K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 35% 2,403 867 $465K
D7140 Extraction, erupted tooth or exposed root 10% 1,572 599 $134K
D1120 Dental cleaning, childProphylaxis - child 8.4% 2,702 2,702 $111K
D2390 6.8% 458 200 $90K
D2391 Resin-based composite - one surface, posterior, primary or permanent 6.7% 931 545 $88K
D1206 Topical application of fluoride varnish 5.7% 2,692 2,692 $75K
D9420 5.5% 506 506 $72K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 4.5% 1,784 1,784 $60K
D9310 3.5% 653 653 $46K
D0272 Bitewings - two radiographic images 2.9% 1,602 1,602 $38K
D0240 2.5% 1,587 821 $33K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 2.1% 220 126 $27K
13 more codes
D1510 2.1% 138 $27K
D2330 <1% 131 $11K
D0220 Intraoral - periapical first radiographic image <1% 512 $10K
D0140 Limited oral evaluation - problem focused <1% 154 $9K
D0150 Comprehensive oral evaluation - new or established patient <1% 103 $7K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 55 $7K
D1351 Sealant - per tooth <1% 107 $3K
D0330 Panoramic radiographic image <1% 30 $2K
D1354 <1% 34 $930.00
D0230 Intraoral - periapical each additional radiographic image <1% 67 $888.98
D0145 Oral evaluation for a patient under three years of age <1% 16 $635.79
D0274 Bitewings - four radiographic images <1% 12 $528.00
D3120 0% 15 $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.