Cannon, Maxine

Cannon, Maxine was paid $212K by Medicaid between Sep 2018 and Jan 2020, across 14 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 22% of everything it billed.

33Billing provider infoCANNON, MAXINE
MONROE, MI 48162

33aNPI1295221778assigned 07/08/2018

33bProvider typeGeneral Practice Dentistry

28Total paid$212K

24GClaims5,569

24DCodes billed14

24AFirst – last monthSep 2018 – Jan 2020

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#242 of 1,554

Median peer was paid$15K

This provider vs. median15×

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	1,368	$48K
2019	3,888	$151K
2020	313	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2391	Resin-based composite - one surface, posterior, primary or permanent	22%	526	339	$47K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	18%	327	198	$39K
D1110	Prophylaxis - adult	12%	497	497	$25K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	934	934	$24K
D1120	Dental cleaning, childProphylaxis - child	9.9%	567	567	$21K
D1206	Topical application of fluoride varnish	5.0%	489	489	$11K
D0274	Bitewings - four radiographic images	5.0%	321	321	$11K
D1351	Sealant - per tooth	5.0%	405	148	$11K
D0220	Intraoral - periapical first radiographic image	4.8%	647	641	$10K
D0230	Intraoral - periapical each additional radiographic image	2.1%	536	508	$4K
D1208	Topical application of fluoride, excluding varnish	1.9%	195	195	$4K
D0150	Comprehensive oral evaluation - new or established patient	1.5%	83	83	$3K

2 more codes

D0272	Bitewings - two radiographic images	<1%	30	$680.33
D0140	Limited oral evaluation - problem focused	<1%	12	$454.00

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.