Dental
Jewell Lake Dental LLC
Jewell Lake Dental LLC was paid $17K by Medicaid between Aug 2020 and Nov 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.
33Billing provider infoJEWELL LAKE DENTAL LLC
BARTON CITY, MI 48705
BARTON CITY, MI 48705
33aNPI1114238151assigned 06/24/2010
33bProvider typeDentist
28Total paid$17K
24GClaims602
24DCodes billed8
24AFirst – last monthAug 2020 – Nov 2024
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#501 of 1,033
Median peer was paid$15K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2020 | 38 | $1K | |
| 2021 | 158 | $5K | |
| 2022 | 92 | $3K | |
| 2023 | 198 | $6K | |
| 2024incomplete | 116 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 25% | 86 | 86 | $4K |
| D1206 | Topical application of fluoride varnish | 21% | 148 | 148 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 89 | 89 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 77 | 77 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 12% | 121 | 113 | $2K |
| D0274 | Bitewings - four radiographic images | 3.5% | 17 | 17 | $586.80 |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 52 | 45 | $421.93 |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 12 | 12 | $396.00 |
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 officialRODRIGUEZ, STEVEN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Healthy Smiles Dental Care of Lansing | Lansing, MI | $2.88M |
| Healthy Smiles Dental Care of Muskegon, PLLC | Norton Shores, MI | $529K |
| Healthy Smiles Dental Care of Flint, PLLC | Flint, MI | $269K |
| Advanced Dental Groupservices, PLLC | Chelsea, MI | $202K |
| Sunrise Family Dental Care | Redford, MI | $54K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.