Dental
Okemos Pediatric Dentistry
Okemos Pediatric Dentistry was paid $87K by Medicaid between Dec 2022 and Dec 2024, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 36% of everything it billed.
33Billing provider infoOKEMOS PEDIATRIC DENTISTRY
OKEMOS, MI 48864
OKEMOS, MI 48864
33aNPI1154065977assigned 04/27/2022
33bProvider typePediatric Dentist
28Total paid$87K
24GClaims3,537
24DCodes billed7
24AFirst – last monthDec 2022 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#117 of 153
Median peer was paid$464K
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 | |
|---|---|---|---|
| 2022 | 82 | $2K | |
| 2023 | 1,958 | $46K | |
| 2024incomplete | 1,497 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 36% | 879 | 879 | $31K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 838 | 838 | $23K |
| D1206 | Topical application of fluoride varnish | 25% | 920 | 920 | $22K |
| D0272 | Bitewings - two radiographic images | 7.8% | 349 | 349 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 228 | 225 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 46 | 26 | $540.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 277 | 257 | $0.00 |
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 officialJUNG, MELVIN (PRESIDENT)