Dental
Mikesell, Thor
Mikesell, Thor was paid $35K by Medicaid between Feb 2018 and Sep 2022, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 42% of everything it billed.
33Billing provider infoMIKESELL, THOR
SUTTONS BAY, MI 49682
SUTTONS BAY, MI 49682
33aNPI1952380974assigned 01/10/2006
33bProvider typeDentist
28Total paid$35K
24GClaims1,363
24DCodes billed7
24AFirst – last monthFeb 2018 – Sep 2022
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#404 of 1,033
Median peer was paid$15K
This provider vs. median2.4×
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 | 314 | $9K | |
| 2019 | 337 | $8K | |
| 2020 | 176 | $5K | |
| 2021 | 379 | $9K | |
| 2022 | 157 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 42% | 570 | 570 | $15K |
| D1206 | Topical application of fluoride varnish | 28% | 426 | 426 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 225 | 225 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 57 | 57 | $918.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 57 | 57 | $486.00 |
| D0274 | Bitewings - four radiographic images | 1.3% | 13 | 13 | $468.00 |
| D0272 | Bitewings - two radiographic images | 1.1% | 15 | 15 | $375.00 |
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.