Dental
Lake Michigan Oral & Maxillofacial Surgery PLLC
Lake Michigan Oral & Maxillofacial Surgery PLLC was paid $40K by Medicaid between Apr 2019 and Nov 2024, across 8 billing codes. Its largest line is D9243, — 43% of everything it billed.
33Billing provider infoLAKE MICHIGAN ORAL & MAXILLOFACIAL SURGERY PLLC
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
33aNPI1245544824assigned 08/05/2010
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$40K
24GClaims725
24DCodes billed8
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Michigan
Rank by total paid#35 of 74
Median peer was paid$37K
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 | |
|---|---|---|---|
| 2019 | 39 | $4K | |
| 2020 | 142 | $7K | |
| 2021 | 230 | $11K | |
| 2022 | 51 | $2K | |
| 2023 | 89 | $4K | |
| 2024incomplete | 174 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9243 | 43% | 161 | 76 | $17K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 33% | 209 | 209 | $13K |
| D9239 | 21% | 77 | 76 | $8K | |
| D0330 | Panoramic radiographic image | 2.7% | 30 | 30 | $1K |
| D9215 | 0% | 112 | 111 | $0.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 62 | 61 | $0.00 |
| D1999 | 0% | 24 | 24 | $0.00 | |
| D9610 | 0% | 50 | 49 | $0.00 |
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 officialKEOUGH, LISA (CREDENTIALING REP)
| Provider | Location | Paid |
|---|---|---|
| New York Physical Medicine Center | Rochester, NY | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.