Clinic
Holy Family Dental Clinics
Holy Family Dental Clinics was paid $20K by Medicaid between Dec 2022 and Jun 2023, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
33Billing provider infoHOLY FAMILY DENTAL CLINICS
HARTFORD, MI 49057
HARTFORD, MI 49057
33aNPI1164170577assigned 03/15/2022
33bProvider typeDental Clinic/Center
28Total paid$20K
24GClaims503
24DCodes billed7
24AFirst – last monthDec 2022 – Jun 2023
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#237 of 431
Median peer was paid$24K
This provider vs. median0.8×
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 | 58 | $2K | |
| 2023 | 445 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 132 | 132 | $6K |
| D1206 | Topical application of fluoride varnish | 24% | 163 | 162 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 23% | 88 | 88 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 21 | 15 | $3K |
| D0272 | Bitewings - two radiographic images | 4.4% | 43 | 43 | $858.00 |
| D0191 | 3.9% | 40 | 40 | $768.00 | |
| D0274 | Bitewings - four radiographic images | 2.9% | 16 | 16 | $574.00 |
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 officialBOUCHARD, DONNIE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Holy Family Healthcare | Hartford, MI | $1.54M |
| Holy Family Healthcare | Kalamazoo, MI | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.