Dental
Sault Dental Association
Sault Dental Association was paid $10K by Medicaid between Apr 2018 and Mar 2020, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 76% of everything it billed.
33Billing provider infoSAULT DENTAL ASSOCIATION
SAULT SAINTE MARIE, MI 49783
SAULT SAINTE MARIE, MI 49783
33aNPI1114101318assigned 12/24/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$10K
24GClaims366
24DCodes billed3
24AFirst – last monthApr 2018 – Mar 2020
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#842 of 1,554
Median peer was paid$15K
This provider vs. median0.7×
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 | 153 | $5K | |
| 2019 | 170 | $4K | |
| 2020 | 43 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 76% | 314 | 307 | $8K |
| D1110 | Prophylaxis - adult | 19% | 40 | 40 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.6% | 12 | 12 | $480.00 |
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 officialSHUNK, CLAYTON (GENERAL PARTNER)