Dental
Forman, Michael
Forman, Michael was paid $1.04M by Medicaid between Feb 2018 and Dec 2024, across 25 billing codes. Its largest line is D1110, Prophylaxis - adult — 21% of everything it billed.
33Billing provider infoFORMAN, MICHAEL
WOONSOCKET, RI 02895
WOONSOCKET, RI 02895
33aNPI1639260276assigned 09/27/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$1.04M
24GClaims32,432
24DCodes billed25
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Rhode Island
Rank by total paid#14 of 86
Median peer was paid$77K
This provider vs. median13×
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 | 6,445 | $172K | |
| 2019 | 48 | $1K | |
| 2020 | 3,150 | $84K | |
| 2021 | 5,571 | $145K | |
| 2022 | 6,093 | $205K | |
| 2023 | 6,047 | $246K | |
| 2024incomplete | 5,078 | $183K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 21% | 5,672 | 5,400 | $214K |
| D7140 | Extraction, erupted tooth or exposed root | 17% | 2,602 | 1,179 | $175K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 4,800 | 4,540 | $106K |
| D0330 | Panoramic radiographic image | 9.8% | 2,269 | 2,112 | $102K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.0% | 4,999 | 4,770 | $72K |
| D2394 | 5.8% | 756 | 597 | $60K | |
| D2335 | 5.3% | 692 | 468 | $55K | |
| D0272 | Bitewings - two radiographic images | 4.5% | 2,694 | 2,575 | $46K |
| D0140 | Limited oral evaluation - problem focused | 3.6% | 1,658 | 1,499 | $38K |
| D2954 | 3.2% | 247 | 203 | $33K | |
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 2,628 | 2,284 | $29K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 923 | 854 | $26K |
13 more codes
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.5% | 281 | $26K |
| D9110 | 1.6% | 438 | $16K | |
| D2161 | 1.0% | 198 | $11K | |
| D2332 | <1% | 104 | $7K | |
| D2160 | <1% | 108 | $5K | |
| D2140 | <1% | 159 | $4K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 86 | $4K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 96 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 34 | $2K |
| D2330 | <1% | 48 | $2K | |
| D1120 | Dental cleaning, child | <1% | 14 | $546.78 |
| D0603 | <1% | 583 | $2.48 | |
| D0602 | <1% | 343 | $2.31 |
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.