Dental
Port City Dental
Port City Dental was paid $32K by Medicaid between Jul 2020 and Jan 2023, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 35% of everything it billed.
33Billing provider infoPORT CITY DENTAL
MUSKEGON, MI 49444
MUSKEGON, MI 49444
33aNPI1043741424assigned 03/27/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$32K
24GClaims1,355
24DCodes billed7
24AFirst – last monthJul 2020 – Jan 2023
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#598 of 1,554
Median peer was paid$15K
This provider vs. median2.2×
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 | |
|---|---|---|---|
| 2020 | 278 | $6K | |
| 2021 | 543 | $13K | |
| 2022 | 476 | $11K | |
| 2023 | 58 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 35% | 313 | 312 | $11K |
| D1206 | Topical application of fluoride varnish | 29% | 469 | 468 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 289 | 289 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 7.1% | 152 | 151 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 102 | 98 | $794.51 |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 17 | 17 | $682.07 |
| D1110 | Prophylaxis - adult | 1.9% | 13 | 13 | $609.12 |
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 officialBEER, TERESA (INSURANCE SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Cascade Family Dental Group | Grand Rapids, MI | $197.51 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.