Dental
Setaputri, Stephanie
Setaputri, Stephanie was paid $281.92 by Medicaid between May 2023 and May 2023, across 1 billing code. Its largest line is D0220, Intraoral - periapical first radiographic image — 100% of everything it billed.
33Billing provider infoSETAPUTRI, STEPHANIE
HUDSONVILLE, MI 49426
HUDSONVILLE, MI 49426
33aNPI1225773732assigned 04/29/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$281.92
24GClaims16
24DCodes billed1
24AFirst – last monthMay 2023 – May 2023
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#1,493 of 1,554
Median peer was paid$15K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2023 | 16 | $281.92 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 100% | 16 | 16 | $281.92 |
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.