Chipman-Bergsma, Anna

Chipman-Bergsma, Anna was paid $10K by Medicaid between Jan 2018 and Mar 2018, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.

33Billing provider infoCHIPMAN-BERGSMA, ANNA
LAWRENCE, MI 49064

33aNPI1275063042assigned 06/14/2017

33bProvider typeGeneral Practice Dentistry

28Total paid$10K

24GClaims269

24DCodes billed7

24AFirst – last monthJan 2018 – Mar 2018

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#840 of 1,554

Median peer was paid$15K

This provider vs. median0.7×

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	269	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	21%	59	59	$2K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	18%	16	13	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	17%	22	14	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	17%	68	68	$2K
D1206	Topical application of fluoride varnish	15%	68	68	$2K
D0274	Bitewings - four radiographic images	7.0%	24	24	$724.81
D1110	Prophylaxis - adult	5.6%	12	12	$582.00

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.