Dental
Fountain, Craig
Fountain, Craig was paid $28K by Medicaid between Aug 2018 and Oct 2019, across 3 billing codes. Its largest line is D9243, — 38% of everything it billed.
33Billing provider infoFOUNTAIN, CRAIG
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
33aNPI1992759625assigned 05/19/2006
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$28K
24GClaims298
24DCodes billed3
24AFirst – last monthAug 2018 – Oct 2019
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Michigan
Rank by total paid#41 of 74
Median peer was paid$37K
This provider vs. median0.7×
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 | 53 | $4K | |
| 2019 | 245 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9243 | 38% | 98 | 98 | $11K | |
| D9239 | 38% | 98 | 98 | $11K | |
| D0140 | Limited oral evaluation - problem focused | 23% | 102 | 102 | $6K |
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.