Dental
Santa Fe Family Dentistry LTD
Santa Fe Family Dentistry LTD was paid $9K by Medicaid between Jan 2019 and Aug 2019, across 4 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 49% of everything it billed.
33Billing provider infoSANTA FE FAMILY DENTISTRY LTD
SAINT CLAIR, MI 48079
SAINT CLAIR, MI 48079
33aNPI1225427396assigned 01/13/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$9K
24GClaims228
24DCodes billed4
24AFirst – last monthJan 2019 – Aug 2019
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#870 of 1,554
Median peer was paid$15K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2019 | 228 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 49% | 131 | 131 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 30% | 49 | 49 | $3K |
| D1110 | Prophylaxis - adult | 18% | 36 | 36 | $2K |
| D0140 | Limited oral evaluation - problem focused | 3.5% | 12 | 12 | $319.38 |
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 officialPOPE, JARED (CEO)