Icabone, Dennis

Icabone, Dennis was paid $1K by Medicaid between Jun 2018 and Dec 2018, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 50% of everything it billed.

33Billing provider infoICABONE, DENNIS
FENNVILLE, MI 49408

33aNPI1518022532assigned 12/27/2006

33bProvider typeDentist

28Total paid$1K

24GClaims37

24DCodes billed3

24AFirst – last monthJun 2018 – Dec 2018

Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#878 of 1,033

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	37	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	50%	13	13	$586.62
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	26%	12	12	$302.00
D1206	Topical application of fluoride varnish	24%	12	12	$275.00

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.