Bolden, Michael

Bolden, Michael was paid $88K by Medicaid between Dec 2019 and May 2021, across 9 billing codes. Its largest line is D9999, Unspecified adjunctive procedure, by report — 100% of everything it billed.

33Billing provider infoBOLDEN, MICHAEL
BROOKLYN, NY 11238

33aNPI1619022548assigned 01/23/2007

33bProvider typePeriodontist

28Total paid$88K

24GClaims944

24DCodes billed9

24AFirst – last monthDec 2019 – May 2021

Compared with peers

Next to other Periodontist providers in New York

Rank by total paid#11 of 39

Median peer was paid$17K

This provider vs. median5.2×

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
2019	17	$2K
2020	447	$48K
2021	480	$38K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9999	Unspecified adjunctive procedure, by report	100%	610	538	$88K
D0210	Intraoral - complete series of radiographic images	<1%	77	77	$13.78
D0150	Comprehensive oral evaluation - new or established patient	<1%	28	28	$6.89
D0140	Limited oral evaluation - problem focused	<1%	70	70	$3.33
D0220	Intraoral - periapical first radiographic image	<1%	91	86	$2.61
D1110	Prophylaxis - adult	0%	27	27	$0.00
D0270		0%	13	12	$0.00
D1330		0%	13	12	$0.00
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	0%	15	15	$0.00

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.