Mccormack, Michael

Mccormack, Michael was paid $61K by Medicaid between Jan 2018 and May 2019, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 42% of everything it billed.

33Billing provider infoMCCORMACK, MICHAEL
SPOKANE VALLEY, WA 99216

33aNPI1891007225assigned 07/14/2010

33bProvider typeGeneral Practice Dentistry

28Total paid$61K

24GClaims1,714

24DCodes billed9

24AFirst – last monthJan 2018 – May 2019

Compared with peers

Next to other General Practice Dentistry providers in Washington

Rank by total paid#131 of 319

Median peer was paid$22K

This provider vs. median2.8×

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	943	$35K
2019	771	$27K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	42%	500	458	$26K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	21%	438	395	$13K
D1206	Topical application of fluoride varnish	13%	269	225	$8K
D0274	Bitewings - four radiographic images	9.4%	173	160	$6K
D0150	Comprehensive oral evaluation - new or established patient	6.6%	107	97	$4K
D4910		2.5%	13	13	$2K
D0220	Intraoral - periapical first radiographic image	2.4%	107	92	$1K
D0230	Intraoral - periapical each additional radiographic image	2.0%	93	80	$1K
D9110		1.4%	14	12	$846.95

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.