Brossman, Michael

Brossman, Michael was paid $91K by Medicaid between Nov 2021 and Jan 2023, across 19 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 21% of everything it billed.

33Billing provider infoBROSSMAN, MICHAEL
GREEN BAY, WI 54304

33aNPI1770835969assigned 10/11/2012

33bProvider typeDentist

28Total paid$91K

24GClaims7,453

24DCodes billed19

24AFirst – last monthNov 2021 – Jan 2023

Compared with peers

Next to other Dentist providers in Wisconsin

Rank by total paid#68 of 185

Median peer was paid$28K

This provider vs. median3.2×

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
2021	448	$3K
2022	6,605	$83K
2023	400	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0210	Intraoral - complete series of radiographic images	21%	636	636	$19K
D0150	Comprehensive oral evaluation - new or established patient	20%	838	837	$19K
D1110	Prophylaxis - adult	13%	599	599	$12K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	10%	390	303	$9K
D1206	Topical application of fluoride varnish	7.4%	958	958	$7K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.9%	275	205	$4K
D0140	Limited oral evaluation - problem focused	4.3%	406	401	$4K
D0274	Bitewings - four radiographic images	3.5%	438	437	$3K
D0220	Intraoral - periapical first radiographic image	3.2%	817	812	$3K
D1120	Dental cleaning, childProphylaxis - child	2.9%	237	237	$3K
D4910		2.5%	121	121	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	2.4%	448	448	$2K

7 more codes

D0230	Intraoral - periapical each additional radiographic image	1.9%	639	$2K
D4341		1.3%	41	$1K
D0603		<1%	68	$253.00
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	<1%	19	$252.00
D0270		<1%	12	$11.00
D1330		<1%	65	$10.00
D9986		0%	446	$0.00

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.