NPI: 1063504181 · FLINT, MI 48532 · General Practice Dentistry · NPI assigned 09/28/2006
| Authorized Official | HART, PATRICIA (GENERAL MANAGER) |
| NPI Enumeration Date | 09/28/2006 |
Other providers sharing the same authorized official: HART, PATRICIA
| Provider | City | State | Total Paid |
|---|---|---|---|
| GREAT LAKES FAMILY DENTAL GROUP SAGINAW, PC | SAGINAW | MI | $436K |
| GREAT LAKES FAMILY DENTAL GROUP-MUNCIE, P.C. | MUNCIE | IN | $429K |
| GREAT LAKES FAMILY DENTAL GROUP BLISSFIELD PC | BLISSFIELD | MI | $142K |
| GREAT LAKES FAMILY DENTAL GROUP - TECUMSEH PC | TECUMSEH | MI | $102K |
| GREAT LAKES FAMILY DENTAL GROUP-ALMONT,P.C. | ALMONT | MI | $68K |
| GREAT LAKES FAMILY DENTAL GROUP-WARREN, P.C. | WARREN | MI | $30K |
| GREAT LAKES FAMILY DENTAL GROUP - MT MORRIS PC | MT MORRIS | MI | $15K |
| GREAT LAKES FAMILY DENTAL GROUP-ST. JOSEPH | SAINT JOSEPH | MI | $3K |
| GREAT LAKES FAMILY DENTALGROUP-HOWELL | HOWELL | MI | $3K |
| GREAT LAKES FAMILY DENTAL GROUP-DEWITT, P.C. | DEWITT | MI | $3K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 713 | $23K |
| 2019 | 842 | $26K |
| 2020 | 658 | $19K |
| 2021 | 1,082 | $37K |
| 2022 | 1,359 | $44K |
| 2023 | 1,983 | $70K |
| 2024 | 2,263 | $92K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 1,759 | 1,749 | $68K |
| D0120 | Periodic oral evaluation - established patient | 2,444 | 2,429 | $63K |
| D1110 | Prophylaxis - adult | 1,018 | 1,013 | $51K |
| D1206 | Topical application of fluoride varnish | 1,998 | 1,984 | $48K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 296 | 176 | $32K |
| D0150 | Comprehensive oral evaluation - new or established patient | 323 | 322 | $15K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 129 | 92 | $11K |
| D0274 | Bitewings - four radiographic images | 310 | 310 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 313 | 309 | $5K |
| D0272 | Bitewings - two radiographic images | 127 | 127 | $3K |
| D0140 | Limited oral evaluation - problem focused | 52 | 52 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 14 | 13 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 17 | 16 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 100 | 59 | $986.57 |