Grooms, Michael

Grooms, Michael was paid $129K by Medicaid between Feb 2018 and Oct 2019, across 5 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 63% of everything it billed.

33Billing provider infoGROOMS, MICHAEL
BURLINGTON, NC 27215

33aNPI1669573010assigned 09/26/2006

33bProvider typePediatric Dentist

28Total paid$129K

24GClaims1,821

24DCodes billed5

24AFirst – last monthFeb 2018 – Oct 2019

Compared with peers

Next to other Pediatric Dentist providers in North Carolina

Rank by total paid#149 of 195

Median peer was paid$776K

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
2018	1,111	$72K
2019	710	$57K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2930	Prefabricated stainless steel crown - primary tooth	63%	575	114	$82K
D9420		20%	219	218	$25K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	8.8%	116	37	$11K
D0230	Intraoral - periapical each additional radiographic image	6.0%	669	163	$8K
D0220	Intraoral - periapical first radiographic image	2.2%	242	195	$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.