Dental
Royal Oak Family Dentistry
Royal Oak Family Dentistry was paid $756.00 by Medicaid between Feb 2021 and Aug 2021, across 1 billing code. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.
33Billing provider infoROYAL OAK FAMILY DENTISTRY
ROYAL OAK, MI 48067
ROYAL OAK, MI 48067
33aNPI1205815628assigned 01/13/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$756.00
24GClaims27
24DCodes billed1
24AFirst – last monthFeb 2021 – Aug 2021
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#1,345 of 1,554
Median peer was paid$15K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2021 | 27 | $756.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 100% | 27 | 27 | $756.00 |
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 officialCOSTELLO, DANIEL (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Royal Oak Family Dentistry PC | Royal Oak, MI | $300.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.