Dental
Houghton Lake Family Dentistry
Houghton Lake Family Dentistry was paid $26K by Medicaid between Oct 2022 and Dec 2024, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 32% of everything it billed.
33Billing provider infoHOUGHTON LAKE FAMILY DENTISTRY
HOUGHTON LAKE, MI 48629
HOUGHTON LAKE, MI 48629
33aNPI1023734639assigned 10/14/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$26K
24GClaims1,161
24DCodes billed8
24AFirst – last monthOct 2022 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#635 of 1,554
Median peer was paid$15K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2022 | 30 | $738.78 | |
| 2023 | 307 | $8K | |
| 2024incomplete | 824 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 32% | 332 | 332 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 193 | 193 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 181 | 181 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 9.2% | 148 | 148 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.6% | 228 | 122 | $2K |
| D1206 | Topical application of fluoride varnish | 4.3% | 50 | 50 | $1K |
| D1110 | Prophylaxis - adult | 2.8% | 15 | 15 | $737.92 |
| D0274 | Bitewings - four radiographic images | 2.1% | 14 | 14 | $539.00 |
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.
From NPPES
Who's on the registration
Authorized officialPACELLA, ROBERT (OWNER/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Houghton Lake Family Dentistry | Houghton Lake, MI | $21K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.