Mika, Tammy

Mika, Tammy was paid $61K by Medicaid between Apr 2018 and Dec 2018, across 11 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 50% of everything it billed.

33Billing provider infoMIKA, TAMMY
PERRY, MI 48872

33aNPI1437179462assigned 07/20/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$61K

24GClaims1,260

24DCodes billed11

24AFirst – last monthApr 2018 – Dec 2018

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#460 of 1,554

Median peer was paid$15K

This provider vs. median4.2×

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	1,260	$61K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	50%	249	135	$31K
D1120	Dental cleaning, childProphylaxis - child	14%	221	221	$9K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	11%	235	235	$7K
D1206	Topical application of fluoride varnish	10.0%	251	251	$6K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	4.6%	18	12	$3K
D0220	Intraoral - periapical first radiographic image	3.6%	132	118	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	2.2%	16	12	$1K
D1110	Prophylaxis - adult	1.4%	16	16	$864.00
D0274	Bitewings - four radiographic images	1.4%	26	26	$840.00
D0230	Intraoral - periapical each additional radiographic image	1.2%	82	53	$711.00
D0272	Bitewings - two radiographic images	<1%	14	14	$336.00

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.