Dental
Coon, Graydon
Coon, Graydon was paid $5K by Medicaid between Oct 2018 and Sep 2024, across 4 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 60% of everything it billed.
33Billing provider infoCOON, GRAYDON
PORTAGE, MI 49002
PORTAGE, MI 49002
33aNPI1417174822assigned 04/19/2007
33bProvider typeDentist
28Total paid$5K
24GClaims212
24DCodes billed4
24AFirst – last monthOct 2018 – Sep 2024
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#682 of 1,033
Median peer was paid$15K
This provider vs. median0.4×
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 | 12 | $192.00 | |
| 2022 | 26 | $517.79 | |
| 2023 | 97 | $3K | |
| 2024incomplete | 77 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 60% | 148 | 148 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 39 | 39 | $1K |
| D1110 | Prophylaxis - adult | 11% | 13 | 13 | $570.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 9.9% | 12 | 12 | $528.00 |
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.