Dental
Port, Suzanne
Port, Suzanne was paid $168K by Medicaid between Jan 2018 and Jun 2020, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 35% of everything it billed.
33Billing provider infoPORT, SUZANNE
HOLLAND, MI 49424
HOLLAND, MI 49424
33aNPI1700925690assigned 02/06/2007
33bProvider typePediatric Dentist
28Total paid$168K
24GClaims5,438
24DCodes billed8
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#103 of 153
Median peer was paid$464K
This provider vs. median0.4×
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 | 2,525 | $80K | |
| 2019 | 2,285 | $71K | |
| 2020 | 628 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 35% | 1,585 | 1,584 | $59K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 30% | 1,677 | 1,673 | $51K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 821 | 819 | $21K |
| D0272 | Bitewings - two radiographic images | 11% | 876 | 875 | $19K |
| D1351 | Sealant - per tooth | 4.3% | 253 | 84 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.6% | 61 | 39 | $6K |
| D1110 | Prophylaxis - adult | 2.1% | 68 | 68 | $4K |
| D0240 | 1.2% | 97 | 55 | $2K |
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.