Dental
Mason Dental Group PC
Mason Dental Group PC was paid $3K by Medicaid between Sep 2020 and Oct 2024, across 3 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 49% of everything it billed.
33Billing provider infoMASON DENTAL GROUP PC
MASON, MI 48854
MASON, MI 48854
33aNPI1104993484assigned 11/29/2006
33bProvider typeDentist
28Total paid$3K
24GClaims115
24DCodes billed3
24AFirst – last monthSep 2020 – Oct 2024
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#766 of 1,033
Median peer was paid$15K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2020 | 26 | $505.00 | |
| 2023 | 13 | $270.00 | |
| 2024incomplete | 76 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 49% | 53 | 53 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 44% | 50 | 50 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 7.4% | 12 | 12 | $200.75 |
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 officialBAUER MONDRAGON, TAMARA (PRESIDENT OWNER)