Michael, Mary

Michael, Mary was paid $79K by Medicaid between Jan 2018 and Mar 2020, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 49% of everything it billed.

33Billing provider infoMICHAEL, MARY
BINGHAMTON, NY 13905

33aNPI1255645404assigned 07/29/2010

33bProvider typeGeneral Practice Dentistry

28Total paid$79K

24GClaims2,047

24DCodes billed10

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#946 of 2,184

Median peer was paid$54K

This provider vs. median1.5×

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	1,243	$47K
2019	687	$28K
2020	117	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	49%	728	728	$39K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	30%	865	865	$24K
D0274	Bitewings - four radiographic images	9.1%	190	190	$7K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	3.3%	33	26	$3K
D0330	Panoramic radiographic image	2.7%	41	41	$2K
D1120	Dental cleaning, childProphylaxis - child	2.6%	53	53	$2K
D1208	Topical application of fluoride, excluding varnish	1.5%	82	82	$1K
D0150	Comprehensive oral evaluation - new or established patient	<1%	27	27	$769.50
D0272	Bitewings - two radiographic images	<1%	12	12	$250.80
D0220	Intraoral - periapical first radiographic image	<1%	16	16	$199.50

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.