Clinic
Mary Bernona Stevens DDS, PLLC
Mary Bernona Stevens DDS, PLLC was paid $18K by Medicaid between Oct 2020 and Nov 2024, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 52% of everything it billed.
33Billing provider infoMARY BERNONA STEVENS DDS, PLLC
GRAND RAPIDS, MI 49534
GRAND RAPIDS, MI 49534
33aNPI1528678364assigned 08/06/2020
33bProvider typeDental Clinic/Center
28Total paid$18K
24GClaims544
24DCodes billed2
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#241 of 431
Median peer was paid$24K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2020 | 15 | $672.20 | |
| 2021 | 212 | $7K | |
| 2022 | 178 | $6K | |
| 2023 | 82 | $2K | |
| 2024incomplete | 57 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 52% | 364 | 364 | $9K |
| D1110 | Prophylaxis - adult | 48% | 180 | 180 | $8K |
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.
From NPPES
Who's on the registration
Authorized officialSTEVENS, MARY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Area Education Agency 267 | Cedar Falls, IA | $510K |
| Area Education Agency 267 | Cedar Falls, IA | $117K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.