Forsyth Family Dentistry, P.C.

Forsyth Family Dentistry, P.C. was paid $16K by Medicaid between Jan 2018 and Dec 2018, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 40% of everything it billed.

33Billing provider infoFORSYTH FAMILY DENTISTRY, P.C.
GAYLORD, MI 49735

33aNPI1245364306assigned 03/14/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$16K

24GClaims560

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2018

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#751 of 1,554

Median peer was paid$15K

This provider vs. median1.1×

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
2018	560	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	40%	258	255	$7K
D1120	Dental cleaning, childProphylaxis - child	33%	140	140	$5K
D1206	Topical application of fluoride varnish	17%	119	119	$3K
D1110	Prophylaxis - adult	7.5%	28	28	$1K
D0272	Bitewings - two radiographic images	2.3%	15	15	$375.00

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 officialFORSYTH, STEPHEN (PRESIDENT)