Larson, Jennifer

Larson, Jennifer was paid $63K by Medicaid between Jan 2018 and Jun 2020, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 24% of everything it billed.

33Billing provider infoLARSON, JENNIFER
BOYNE CITY, MI 49712

33aNPI1629156500assigned 11/01/2006

33bProvider typeDentist

28Total paid$63K

24GClaims1,675

24DCodes billed6

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#319 of 1,033

Median peer was paid$15K

This provider vs. median4.2×

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	701	$25K
2019	757	$30K
2020	217	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	24%	588	581	$15K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	23%	132	81	$15K
D1110	Prophylaxis - adult	18%	232	231	$11K
D1120	Dental cleaning, childProphylaxis - child	18%	298	293	$11K
D1206	Topical application of fluoride varnish	13%	360	357	$9K
D0274	Bitewings - four radiographic images	3.3%	65	65	$2K

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.