Dental
Holland Family Dentistry
Holland Family Dentistry was paid $133K by Medicaid between Jan 2018 and Sep 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 36% of everything it billed.
33Billing provider infoHOLLAND FAMILY DENTISTRY
HOLLAND, MI 49423
HOLLAND, MI 49423
33aNPI1043609738assigned 01/18/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$133K
24GClaims4,115
24DCodes billed11
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#319 of 1,554
Median peer was paid$15K
This provider vs. median9.2×
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 | 1,040 | $38K | |
| 2019 | 1,026 | $35K | |
| 2020 | 621 | $19K | |
| 2021 | 775 | $23K | |
| 2022 | 390 | $12K | |
| 2023 | 150 | $4K | |
| 2024incomplete | 113 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 36% | 1,108 | 1,105 | $48K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 1,303 | 1,302 | $30K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 474 | 472 | $16K |
| D1206 | Topical application of fluoride varnish | 8.9% | 575 | 574 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.7% | 251 | 248 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.1% | 74 | 39 | $8K |
| D0274 | Bitewings - four radiographic images | 5.6% | 258 | 258 | $7K |
| D0140 | Limited oral evaluation - problem focused | <1% | 28 | 27 | $1K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 13 | 13 | $772.00 |
| D0272 | Bitewings - two radiographic images | <1% | 16 | 16 | $360.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 15 | 15 | $205.00 |
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 officialMORIN, KALISHA (PARTNER)