Fort Dental Center

Fort Dental Center was paid $1K by Medicaid between Apr 2019 and Apr 2019, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 40% of everything it billed.

33Billing provider infoFORT DENTAL CENTER
LINCOLN PARK, MI 48146

33aNPI1073790838assigned 01/23/2008

33bProvider typeProsthodontist

28Total paid$1K

24GClaims42

24DCodes billed3

24AFirst – last monthApr 2019 – Apr 2019

Compared with peers

Next to other Prosthodontist providers in Michigan

Rank by total paid#8 of 8

Median peer was paid$5K

This provider vs. median0.3×

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
2019	42	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	40%	12	12	$456.40
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	34%	16	16	$385.69
D1208	Topical application of fluoride, excluding varnish	26%	14	14	$303.31

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 officialSAMMAN, FADI (OWNER/PARTNER)