Dental
Racine, Paul
Racine, Paul was paid $964.00 by Medicaid between Feb 2018 and Feb 2018, across 2 billing codes. Its largest line is D1120, dental cleaning, child — 62% of everything it billed.
33Billing provider infoRACINE, PAUL
CLIO, MI 48420
CLIO, MI 48420
33aNPI1457351298assigned 07/22/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$964.00
24GClaims28
24DCodes billed2
24AFirst – last monthFeb 2018 – Feb 2018
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#1,303 of 1,554
Median peer was paid$15K
This provider vs. median0.1×
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 | 28 | $964.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 62% | 15 | 15 | $600.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 38% | 13 | 13 | $364.00 |
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.