Lakeshore Family Dental Care

Lakeshore Family Dental Care was paid $31K by Medicaid between Jul 2020 and Oct 2024, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 39% of everything it billed.

33Billing provider infoLAKESHORE FAMILY DENTAL CARE
WHITEHALL, MI 49461

33aNPI1013571322assigned 04/23/2019

33bProvider typeDental Clinic/Center

28Total paid$31K

24GClaims1,332

24DCodes billed6

24AFirst – last monthJul 2020 – Oct 2024

Compared with peers

Next to other Dental Clinic/Center providers in Michigan

Rank by total paid#196 of 431

Median peer was paid$24K

This provider vs. median1.3×

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
2020	27	$511.02
2021	78	$2K
2022	383	$9K
2023	543	$13K
2024incomplete	301	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	39%	382	382	$12K
D1206	Topical application of fluoride varnish	31%	501	501	$10K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	27%	413	413	$8K
D0272	Bitewings - two radiographic images	<1%	12	12	$291.50
D0274	Bitewings - four radiographic images	<1%	12	12	$284.32
D0220	Intraoral - periapical first radiographic image	<1%	12	12	$116.53

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.

From NPPES

Who's on the registration

Authorized officialDICE, BRITNEY (OFFICE MANAGER)