Clinic
S. Rangrass DDS PC
S. Rangrass DDS PC was paid $10K by Medicaid between Oct 2022 and Jan 2024, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 36% of everything it billed.
33Billing provider infoS. RANGRASS DDS PC
KALAMAZOO, MI 49004
KALAMAZOO, MI 49004
33aNPI1639814684assigned 05/04/2022
33bProvider typeClinic/Center
28Total paid$10K
24GClaims326
24DCodes billed3
24AFirst – last monthOct 2022 – Jan 2024
Compared with peers
Next to other Clinic/Center providers in Michigan
Rank by total paid#92 of 121
Median peer was paid$71K
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 | |
|---|---|---|---|
| 2022 | 90 | $3K | |
| 2023 | 182 | $5K | |
| 2024incomplete | 54 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 36% | 84 | 84 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 33% | 121 | 121 | $3K |
| D1206 | Topical application of fluoride varnish | 31% | 121 | 121 | $3K |
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.
From NPPES
Who's on the registration
Authorized officialSECORD, KELLY (OFFICE MANAGER)