Ticknor, Verne

Ticknor, Verne was paid $36K by Medicaid between Jan 2018 and Mar 2021, across 8 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 30% of everything it billed.

33Billing provider infoTICKNOR, VERNE
SOUTH HAVEN, MI 49090

33aNPI1487709069assigned 01/24/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$36K

24GClaims885

24DCodes billed8

24AFirst – last monthJan 2018 – Mar 2021

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#572 of 1,554

Median peer was paid$15K

This provider vs. median2.5×

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	245	$8K
2019	456	$23K
2020	169	$5K
2021	15	$420.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2391	Resin-based composite - one surface, posterior, primary or permanent	30%	119	40	$11K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	22%	299	299	$8K
D1120	Dental cleaning, childProphylaxis - child	17%	158	158	$6K
D1208	Topical application of fluoride, excluding varnish	15%	228	227	$5K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	8.5%	25	14	$3K
D1110	Prophylaxis - adult	3.5%	27	27	$1K
D0330	Panoramic radiographic image	1.8%	13	13	$657.82
D0150	Comprehensive oral evaluation - new or established patient	1.7%	16	16	$602.00

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.