Dental
Boone, David
Boone, David was paid $418K by Medicaid between Jan 2018 and Jan 2020, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoBOONE, DAVID
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
33aNPI1528155025assigned 10/06/2006
33bProvider typeDentist
28Total paid$418K
24GClaims13,470
24DCodes billed16
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#118 of 1,033
Median peer was paid$15K
This provider vs. median28×
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 | 5,724 | $177K | |
| 2019 | 7,175 | $226K | |
| 2020 | 571 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 1,595 | 1,594 | $62K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 14% | 717 | 524 | $59K |
| D2140 | 13% | 815 | 616 | $55K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,989 | 1,988 | $54K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 1,933 | 1,932 | $45K |
| D1110 | Prophylaxis - adult | 8.3% | 669 | 669 | $35K |
| D0274 | Bitewings - four radiographic images | 6.9% | 853 | 852 | $29K |
| D0220 | Intraoral - periapical first radiographic image | 5.9% | 1,509 | 1,496 | $25K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.4% | 2,599 | 1,315 | $23K |
| D0272 | Bitewings - two radiographic images | 2.2% | 399 | 399 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 201 | 201 | $9K |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 68 | 50 | $6K |
4 more codes
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.