Dental
Northern Michigan Family Dentistry PLLC
Northern Michigan Family Dentistry PLLC was paid $124K by Medicaid between Apr 2018 and Dec 2022, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 31% of everything it billed.
33Billing provider infoNORTHERN MICHIGAN FAMILY DENTISTRY PLLC
GAYLORD, MI 49735
GAYLORD, MI 49735
33aNPI1215100987assigned 04/02/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$124K
24GClaims3,985
24DCodes billed11
24AFirst – last monthApr 2018 – Dec 2022
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#329 of 1,554
Median peer was paid$15K
This provider vs. median8.6×
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 | |
|---|---|---|---|
| 2018 | 997 | $33K | |
| 2019 | 902 | $28K | |
| 2020 | 735 | $22K | |
| 2021 | 866 | $27K | |
| 2022 | 485 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 31% | 1,024 | 986 | $39K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 1,099 | 1,060 | $28K |
| D1110 | Prophylaxis - adult | 19% | 484 | 478 | $23K |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 953 | 922 | $21K |
| D0274 | Bitewings - four radiographic images | 2.8% | 109 | 105 | $4K |
| D0272 | Bitewings - two radiographic images | 2.7% | 138 | 138 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 56 | 53 | $2K |
| D0330 | Panoramic radiographic image | 1.6% | 29 | 29 | $2K |
| D1206 | Topical application of fluoride varnish | 1.0% | 66 | 66 | $1K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 15 | 12 | $997.42 |
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | 12 | $448.00 |
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 officialKOENIG, NICOLE (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Northern Michigan Family Dentistry PLLC | Cheboygan, MI | $17K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.