Dental
Sebourn, Michael
Sebourn, Michael was paid $881K by Medicaid between Jun 2023 and Dec 2024, across 26 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 24% of everything it billed.
33Billing provider infoSEBOURN, MICHAEL
GREENEVILLE, TN 37745
GREENEVILLE, TN 37745
33aNPI1659424133assigned 01/19/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$881K
24GClaims22,797
24DCodes billed26
24AFirst – last monthJun 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Tennessee
Rank by total paid#55 of 336
Median peer was paid$123K
This provider vs. median7.2×
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 | |
|---|---|---|---|
| 2023 | 9,316 | $352K | |
| 2024incomplete | 13,481 | $529K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 24% | 3,339 | 593 | $209K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.6% | 1,053 | 720 | $75K |
| D1110 | Prophylaxis - adult | 7.7% | 1,694 | 1,625 | $67K |
| D1206 | Topical application of fluoride varnish | 6.2% | 2,582 | 2,511 | $54K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.8% | 2,131 | 2,075 | $51K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.4% | 783 | 542 | $47K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.0% | 436 | 146 | $44K |
| D2740 | Crown - porcelain/ceramic | 5.0% | 84 | 63 | $44K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.8% | 1,270 | 1,262 | $43K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.0% | 1,227 | 1,192 | $35K |
| D0210 | Intraoral - complete series of radiographic images | 3.4% | 590 | 559 | $30K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.2% | 336 | 264 | $28K |
14 more codes
| D0330 | Panoramic radiographic image | 2.9% | 666 | $25K |
| D0274 | Bitewings - four radiographic images | 2.6% | 1,040 | $23K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 2,109 | $20K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 547 | $12K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.3% | 384 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 1,477 | $10K |
| D4342 | 1.1% | 272 | $9K | |
| D2331 | 1.0% | 118 | $9K | |
| D5110 | <1% | 12 | $8K | |
| D5120 | <1% | 12 | $8K | |
| D0272 | Bitewings - two radiographic images | <1% | 434 | $7K |
| D2330 | <1% | 82 | $5K | |
| D1351 | Sealant - per tooth | <1% | 102 | $3K |
| D4910 | <1% | 17 | $770.20 |
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.