Clinic
Main Street Family Dental
Main Street Family Dental was paid $67K by Medicaid between Jul 2020 and Apr 2024, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 37% of everything it billed.
33Billing provider infoMAIN STREET FAMILY DENTAL
BIRCH RUN, MI 48415
BIRCH RUN, MI 48415
33aNPI1205357126assigned 06/30/2017
33bProvider typeDental Clinic/Center
28Total paid$67K
24GClaims2,618
24DCodes billed7
24AFirst – last monthJul 2020 – Apr 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#161 of 431
Median peer was paid$24K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2020 | 274 | $7K | |
| 2021 | 647 | $15K | |
| 2022 | 698 | $18K | |
| 2023 | 854 | $22K | |
| 2024incomplete | 145 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 37% | 665 | 664 | $25K |
| D1206 | Topical application of fluoride varnish | 25% | 748 | 746 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 676 | 672 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 5.8% | 270 | 267 | $4K |
| D1110 | Prophylaxis - adult | 3.3% | 55 | 55 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.0% | 168 | 168 | $1K |
| D0274 | Bitewings - four radiographic images | 1.5% | 36 | 36 | $983.00 |
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 officialEUBANKS, EMILY (DENTIST)