Dental
Bouwens, Thomas
Bouwens, Thomas was paid $909K by Medicaid between Jan 2018 and Mar 2020, across 18 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 34% of everything it billed.
33Billing provider infoBOUWENS, THOMAS
HOLLAND, MI 49423
HOLLAND, MI 49423
33aNPI1588799175assigned 02/22/2007
33bProvider typePediatric Dentist
28Total paid$909K
24GClaims10,978
24DCodes billed18
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#55 of 153
Median peer was paid$464K
This provider vs. median2.0×
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 | 6,278 | $545K | |
| 2019 | 4,528 | $362K | |
| 2020 | 172 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 34% | 1,596 | 436 | $313K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 13% | 912 | 346 | $114K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.7% | 831 | 434 | $89K |
| D9420 | 8.1% | 509 | 509 | $74K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.7% | 704 | 399 | $61K |
| D7140 | Extraction, erupted tooth or exposed root | 5.8% | 642 | 302 | $53K |
| D2390 | 4.3% | 190 | 65 | $39K | |
| D2330 | 4.1% | 445 | 226 | $37K | |
| D1120 | Dental cleaning, childProphylaxis - child | 2.6% | 677 | 677 | $24K |
| D2331 | 2.5% | 221 | 106 | $23K | |
| D0240 | 2.2% | 928 | 474 | $20K | |
| D0230 | Intraoral - periapical each additional radiographic image | 2.0% | 1,368 | 459 | $18K |
6 more codes
| D1206 | Topical application of fluoride varnish | 1.9% | 726 | $17K |
| D0272 | Bitewings - two radiographic images | 1.4% | 549 | $12K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 466 | $9K |
| D0120 | Dental checkup, returning patient | <1% | 182 | $4K |
| D2140 | <1% | 18 | $1K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 14 | $845.00 |
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.