Su, Michael

Su, Michael was paid $13K by Medicaid between Apr 2023 and Jul 2023, across 8 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 25% of everything it billed.

33Billing provider infoSU, MICHAEL
SHELBY TOWNSHIP, MI 48317

33aNPI1720630809assigned 07/10/2019

33bProvider typeGeneral Practice Dentistry

28Total paid$13K

24GClaims337

24DCodes billed8

24AFirst – last monthApr 2023 – Jul 2023

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#793 of 1,554

Median peer was paid$15K

This provider vs. median0.9×

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	337	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0210	Intraoral - complete series of radiographic images	25%	49	49	$3K
D1110	Prophylaxis - adult	24%	56	56	$3K
D0150	Comprehensive oral evaluation - new or established patient	16%	50	50	$2K
D0140	Limited oral evaluation - problem focused	11%	33	33	$1K
D0220	Intraoral - periapical first radiographic image	9.0%	69	68	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	7.6%	34	34	$1K
D0274	Bitewings - four radiographic images	6.6%	24	24	$883.92
D0230	Intraoral - periapical each additional radiographic image	1.6%	22	12	$213.15

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.