Clinic
Northern Family Dental PLC
Northern Family Dental PLC was paid $9K by Medicaid between Aug 2021 and Feb 2024, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 39% of everything it billed.
33Billing provider infoNORTHERN FAMILY DENTAL PLC
CHARLEVOIX, MI 49720
CHARLEVOIX, MI 49720
33aNPI1053992057assigned 04/20/2021
33bProvider typeDental Clinic/Center
28Total paid$9K
24GClaims296
24DCodes billed4
24AFirst – last monthAug 2021 – Feb 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#278 of 431
Median peer was paid$24K
This provider vs. median0.4×
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 | 25 | $496.00 | |
| 2022 | 98 | $3K | |
| 2023 | 104 | $3K | |
| 2024incomplete | 69 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 39% | 126 | 126 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 33% | 71 | 71 | $3K |
| D1206 | Topical application of fluoride varnish | 18% | 57 | 57 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 42 | 42 | $889.52 |
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 officialKWAPISZ, BRIAN (OWNER)