Clinic
Houghton Lake Family Dentistry
Houghton Lake Family Dentistry was paid $21K by Medicaid between Jul 2020 and Sep 2022, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 38% of everything it billed.
33Billing provider infoHOUGHTON LAKE FAMILY DENTISTRY
HOUGHTON LAKE, MI 48629
HOUGHTON LAKE, MI 48629
33aNPI1235755224assigned 06/25/2020
33bProvider typeDental Clinic/Center
28Total paid$21K
24GClaims814
24DCodes billed6
24AFirst – last monthJul 2020 – Sep 2022
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#227 of 431
Median peer was paid$24K
This provider vs. median0.9×
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 | 179 | $5K | |
| 2021 | 369 | $10K | |
| 2022 | 266 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 38% | 333 | 333 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 32% | 193 | 193 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 22% | 237 | 237 | $5K |
| D1110 | Prophylaxis - adult | 5.8% | 26 | 26 | $1K |
| D0274 | Bitewings - four radiographic images | 1.8% | 12 | 12 | $396.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 13 | 12 | $204.00 |
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 officialPACELLA, ROBERT (OWNER/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Houghton Lake Family Dentistry | Houghton Lake, MI | $26K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.