Clinic
Cedar Springs Dental PLLC
Cedar Springs Dental PLLC was paid $75K by Medicaid between Oct 2021 and Dec 2024, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
33Billing provider infoCEDAR SPRINGS DENTAL PLLC
CEDAR SPRINGS, MI 49319
CEDAR SPRINGS, MI 49319
33aNPI1053087536assigned 08/17/2021
33bProvider typeDental Clinic/Center
28Total paid$75K
24GClaims2,844
24DCodes billed9
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#153 of 431
Median peer was paid$24K
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2021 | 110 | $4K | |
| 2022 | 881 | $24K | |
| 2023 | 991 | $26K | |
| 2024incomplete | 862 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 698 | 697 | $23K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 841 | 841 | $19K |
| D1206 | Topical application of fluoride varnish | 24% | 860 | 860 | $18K |
| D1110 | Prophylaxis - adult | 9.3% | 179 | 179 | $7K |
| D0274 | Bitewings - four radiographic images | 3.1% | 100 | 100 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 73 | 73 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.8% | 22 | 13 | $2K |
| D0272 | Bitewings - two radiographic images | 1.2% | 43 | 43 | $912.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 28 | 28 | $323.50 |
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 officialSETAPUTRI, ANDRES (DENTIST)