Dental
Sullivan, Roger
Sullivan, Roger was paid $5K by Medicaid between Jul 2019 and May 2024, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 46% of everything it billed.
33Billing provider infoSULLIVAN, ROGER
SCHOOLCRAFT, MI 49087
SCHOOLCRAFT, MI 49087
33aNPI1669600425assigned 06/30/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$5K
24GClaims202
24DCodes billed3
24AFirst – last monthJul 2019 – May 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#991 of 1,554
Median peer was paid$15K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2019 | 12 | $320.00 | |
| 2020 | 54 | $1K | |
| 2021 | 43 | $1K | |
| 2022 | 26 | $486.00 | |
| 2023 | 40 | $849.82 | |
| 2024incomplete | 27 | $666.32 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 46% | 97 | 97 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 29% | 68 | 68 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 37 | 37 | $1K |
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.