Sullivan, Stacy

Sullivan, Stacy was paid $27K by Medicaid between Jan 2018 and Apr 2019, across 8 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 32% of everything it billed.

33Billing provider infoSULLIVAN, STACY
RICHMOND, MI 48062

33aNPI1598019325assigned 10/31/2012

33bProvider typePediatric Dentist

28Total paid$27K

24GClaims641

24DCodes billed8

24AFirst – last monthJan 2018 – Apr 2019

Compared with peers

Next to other Pediatric Dentist providers in Michigan

Rank by total paid#127 of 153

Median peer was paid$464K

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	617	$27K
2019	24	$19.66

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	32%	78	52	$9K
D1120	Dental cleaning, childProphylaxis - child	20%	167	167	$5K
D1206	Topical application of fluoride varnish	14%	170	170	$4K
D2391	Resin-based composite - one surface, posterior, primary or permanent	13%	35	26	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	107	107	$3K
D0272	Bitewings - two radiographic images	5.9%	59	59	$2K
D0150	Comprehensive oral evaluation - new or established patient	3.1%	13	13	$845.00
D0220	Intraoral - periapical first radiographic image	<1%	12	12	$240.00

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.