Dental
Tsesis, Mikhail
Tsesis, Mikhail was paid $438.40 by Medicaid between Jun 2020 and Feb 2021, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 74% of everything it billed.
33Billing provider infoTSESIS, MIKHAIL
HOLYOKE, MA 01040
HOLYOKE, MA 01040
33aNPI1376950758assigned 07/17/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$438.40
24GClaims135
24DCodes billed3
24AFirst – last monthJun 2020 – Feb 2021
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#665 of 693
Median peer was paid$87K
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 | |
|---|---|---|---|
| 2020 | 113 | $438.40 | |
| 2021 | 22 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 74% | 14 | 14 | $323.40 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 14 | 14 | $115.00 |
| D1999 | 0% | 107 | 92 | $0.00 |
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.