Dental
Cannon, Michelle
Cannon, Michelle was paid $12K by Medicaid between Jan 2024 and Jan 2024, across 11 billing codes. Its largest line is D4341, — 43% of everything it billed.
33Billing provider infoCANNON, MICHELLE
MICHIGAN CITY, IN 46360
MICHIGAN CITY, IN 46360
33aNPI1629305065assigned 11/05/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$12K
24GClaims414
24DCodes billed11
24AFirst – last monthJan 2024 – Jan 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#504 of 723
Median peer was paid$60K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2024incomplete | 414 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D4341 | 43% | 33 | 16 | $5K | |
| D7140 | Extraction, erupted tooth or exposed root | 10% | 25 | 21 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.3% | 28 | 28 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.7% | 36 | 36 | $925.40 |
| D1208 | Topical application of fluoride, excluding varnish | 6.4% | 29 | 29 | $764.40 |
| D0140 | Limited oral evaluation - problem focused | 5.1% | 32 | 31 | $611.84 |
| D0220 | Intraoral - periapical first radiographic image | 4.6% | 85 | 84 | $548.63 |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.6% | 25 | 25 | $547.68 |
| D0274 | Bitewings - four radiographic images | 4.3% | 31 | 31 | $514.88 |
| D0230 | Intraoral - periapical each additional radiographic image | 3.5% | 66 | 66 | $421.12 |
| D0270 | 1.1% | 24 | 24 | $134.40 |
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.