Dental
Staveris, Michael
Staveris, Michael was paid $6K by Medicaid between Feb 2019 and May 2019, across 5 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 62% of everything it billed.
33Billing provider infoSTAVERIS, MICHAEL
ROSEVILLE, CA 95747
ROSEVILLE, CA 95747
33aNPI1407901150assigned 01/24/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$6K
24GClaims277
24DCodes billed5
24AFirst – last monthFeb 2019 – May 2019
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#2,274 of 2,668
Median peer was paid$173K
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 | |
|---|---|---|---|
| 2019 | 277 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 62% | 59 | 59 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 47 | 47 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.1% | 126 | 47 | $510.30 |
| D1206 | Topical application of fluoride varnish | 4.9% | 30 | 30 | $310.00 |
| D0272 | Bitewings - two radiographic images | 2.9% | 15 | 15 | $180.00 |
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.