Dental
Forsmark, Scott
Forsmark, Scott was paid $7K by Medicaid between May 2018 and Feb 2024, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 64% of everything it billed.
33Billing provider infoFORSMARK, SCOTT
CHEBOYGAN, MI 49721
CHEBOYGAN, MI 49721
33aNPI1669415469assigned 06/13/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$7K
24GClaims252
24DCodes billed3
24AFirst – last monthMay 2018 – Feb 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#916 of 1,554
Median peer was paid$15K
This provider vs. median0.5×
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 | 37 | $960.00 | |
| 2019 | 27 | $672.00 | |
| 2020 | 28 | $500.00 | |
| 2021 | 77 | $2K | |
| 2022 | 30 | $783.00 | |
| 2023 | 39 | $1K | |
| 2024incomplete | 14 | $423.25 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 64% | 175 | 175 | $4K |
| D1110 | Prophylaxis - adult | 26% | 40 | 40 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 10.0% | 37 | 37 | $696.00 |
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.