Dental
Manistique Dental Center, P.C.
Manistique Dental Center, P.C. was paid $183K by Medicaid between Jan 2018 and Jun 2022, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.
33Billing provider infoMANISTIQUE DENTAL CENTER, P.C.
MANISTIQUE, MI 49854
MANISTIQUE, MI 49854
33aNPI1093980955assigned 04/22/2008
33bProvider typeDentist
28Total paid$183K
24GClaims5,393
24DCodes billed12
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#204 of 1,033
Median peer was paid$15K
This provider vs. median12×
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 | |
|---|---|---|---|
| 2018 | 1,440 | $50K | |
| 2019 | 1,201 | $38K | |
| 2020 | 980 | $33K | |
| 2021 | 1,216 | $44K | |
| 2022 | 556 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 25% | 907 | 907 | $46K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 1,575 | 1,575 | $41K |
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 996 | 996 | $37K |
| D1208 | Topical application of fluoride, excluding varnish | 14% | 1,163 | 1,163 | $25K |
| D0210 | Intraoral - complete series of radiographic images | 7.3% | 196 | 196 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 188 | 188 | $8K |
| D0274 | Bitewings - four radiographic images | 2.4% | 132 | 132 | $4K |
| D1351 | Sealant - per tooth | 2.1% | 146 | 33 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.7% | 25 | 17 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 39 | 37 | $608.49 |
| D0140 | Limited oral evaluation - problem focused | <1% | 14 | 14 | $561.40 |
| D0272 | Bitewings - two radiographic images | <1% | 12 | 12 | $275.00 |
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 officialLAFAYETTE, GREGORY (PRESIDENT)