Shore-Vignola, Susan

Shore-Vignola, Susan was paid $25K by Medicaid between Mar 2018 and Jul 2020, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.

33Billing provider infoSHORE-VIGNOLA, SUSAN
LAKE CITY, MI 49651

33aNPI1952394439assigned 08/30/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$25K

24GClaims791

24DCodes billed8

24AFirst – last monthMar 2018 – Jul 2020

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#641 of 1,554

Median peer was paid$15K

This provider vs. median1.7×

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	411	$14K
2019	350	$10K
2020	30	$772.89

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	33%	227	226	$8K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	27%	272	272	$7K
D1208	Topical application of fluoride, excluding varnish	17%	193	193	$4K
D2150	Silver amalgam - two surfaces, primary or permanent	15%	46	27	$4K
D1110	Prophylaxis - adult	2.6%	14	14	$670.10
D0150	Comprehensive oral evaluation - new or established patient	2.4%	14	14	$602.00
D0140	Limited oral evaluation - problem focused	1.9%	13	12	$491.78
D0220	Intraoral - periapical first radiographic image	<1%	12	12	$163.89

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.