Clinic
Xyz PLLC
Xyz PLLC was paid $3K by Medicaid between May 2023 and Jun 2024, across 6 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 26% of everything it billed.
33Billing provider infoXYZ PLLC
MARSHALL, MI 49068
MARSHALL, MI 49068
33aNPI1083367361assigned 01/27/2022
33bProvider typeDental Clinic/Center
28Total paid$3K
24GClaims195
24DCodes billed6
24AFirst – last monthMay 2023 – Jun 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#320 of 431
Median peer was paid$24K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2023 | 111 | $1K | |
| 2024incomplete | 84 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 26% | 46 | 46 | $896.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 40 | 40 | $892.20 |
| D0220 | Intraoral - periapical first radiographic image | 19% | 55 | 54 | $670.91 |
| D1110 | Prophylaxis - adult | 18% | 12 | 12 | $635.25 |
| D1120 | Dental cleaning, childProphylaxis - child | 6.3% | 13 | 13 | $220.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 4.9% | 29 | 27 | $172.00 |
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 officialBOJOVIC, BOJANA (OWNER)