Dental
Libby, Michael
Libby, Michael was paid $31K by Medicaid between Feb 2018 and Sep 2021, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 39% of everything it billed.
33Billing provider infoLIBBY, MICHAEL
OLD TOWN, ME 04468
OLD TOWN, ME 04468
33aNPI1538103171assigned 06/15/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$31K
24GClaims1,586
24DCodes billed7
24AFirst – last monthFeb 2018 – Sep 2021
Compared with peers
Next to other General Practice Dentistry providers in Maine
Rank by total paid#18 of 44
Median peer was paid$10K
This provider vs. median3.2×
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 | 521 | $10K | |
| 2019 | 439 | $8K | |
| 2020 | 426 | $9K | |
| 2021 | 200 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 39% | 475 | 449 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 20% | 573 | 543 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 211 | 192 | $5K |
| D1110 | Prophylaxis - adult | 13% | 118 | 113 | $4K |
| D0272 | Bitewings - two radiographic images | 4.9% | 130 | 116 | $2K |
| D0140 | Limited oral evaluation - problem focused | 3.7% | 61 | 57 | $1K |
| D0330 | Panoramic radiographic image | 2.2% | 18 | 17 | $688.00 |
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.