Clinic
Southgate Family Dental
Southgate Family Dental was paid $932.00 by Medicaid between Jul 2020 and Oct 2023, across 2 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 61% of everything it billed.
33Billing provider infoSOUTHGATE FAMILY DENTAL
SOUTHGATE, MI 48195
SOUTHGATE, MI 48195
33aNPI1124646781assigned 07/10/2020
33bProvider typeDental Clinic/Center
28Total paid$932.00
24GClaims36
24DCodes billed2
24AFirst – last monthJul 2020 – Oct 2023
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#376 of 431
Median peer was paid$24K
This provider vs. median0.0×
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 | 12 | $275.00 | |
| 2023 | 24 | $657.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 61% | 24 | 24 | $572.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 39% | 12 | 12 | $360.00 |
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 officialCHAMBERLAIN, LISA (OFFICE MANAGER)