Mickelson, J

Mickelson, J was paid $2K by Medicaid between Jan 2018 and Jan 2018, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.

33Billing provider infoMICKELSON, J
DURANGO, CO 81301

33aNPI1346351624assigned 08/31/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$2K

24GClaims64

24DCodes billed4

24AFirst – last monthJan 2018 – Jan 2018

Compared with peers

Next to other General Practice Dentistry providers in Colorado

Rank by total paid#481 of 521

Median peer was paid$53K

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
2018	64	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	33%	17	17	$519.69
D0140	Limited oral evaluation - problem focused	24%	13	13	$368.81
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	23%	16	16	$349.28
D1208	Topical application of fluoride, excluding varnish	20%	18	18	$314.28

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.