Son, Chloe

Son, Chloe was paid $42K by Medicaid between Jan 2018 and Jul 2020, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.

33Billing provider infoSON, CHLOE
BERRIEN SPRINGS, MI 49103

33aNPI1396854188assigned 08/29/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$42K

24GClaims1,092

24DCodes billed10

24AFirst – last monthJan 2018 – Jul 2020

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#535 of 1,554

Median peer was paid$15K

This provider vs. median2.9×

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	453	$13K
2019	554	$26K
2020	85	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	24%	255	255	$10K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	21%	81	25	$9K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	19%	298	298	$8K
D1208	Topical application of fluoride, excluding varnish	17%	303	303	$7K
D2391	Resin-based composite - one surface, posterior, primary or permanent	6.6%	32	12	$3K
D1110	Prophylaxis - adult	6.2%	55	54	$3K
D0330	Panoramic radiographic image	2.3%	15	15	$953.60
D0274	Bitewings - four radiographic images	2.0%	24	24	$818.82
D0150	Comprehensive oral evaluation - new or established patient	1.6%	16	16	$648.00
D0140	Limited oral evaluation - problem focused	1.0%	13	13	$434.00

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.