Dental
Pruden, William
Pruden, William was paid $38K by Medicaid between Apr 2018 and Apr 2019, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.
33Billing provider infoPRUDEN, WILLIAM
WEST BRANCH, MI 48661
WEST BRANCH, MI 48661
33aNPI1215058185assigned 04/02/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$38K
24GClaims978
24DCodes billed11
24AFirst – last monthApr 2018 – Apr 2019
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#559 of 1,554
Median peer was paid$15K
This provider vs. median2.6×
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 | 726 | $31K | |
| 2019 | 252 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 24% | 182 | 182 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 56 | 27 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 203 | 201 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 129 | 129 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 130 | 130 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 7.4% | 121 | 121 | $3K |
| D0274 | Bitewings - four radiographic images | 6.5% | 74 | 74 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 5.4% | 37 | 37 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 12 | 12 | $250.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 16 | 15 | $231.20 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 18 | 12 | $136.80 |
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.