Dental
Georgetown Family & Cosmetic Dentistry PLC
Georgetown Family & Cosmetic Dentistry PLC was paid $994.56 by Medicaid between Dec 2022 and Jun 2023, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 60% of everything it billed.
33Billing provider infoGEORGETOWN FAMILY & COSMETIC DENTISTRY PLC
JENISON, MI 49428
JENISON, MI 49428
33aNPI1255404992assigned 11/17/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$994.56
24GClaims38
24DCodes billed2
24AFirst – last monthDec 2022 – Jun 2023
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#1,299 of 1,554
Median peer was paid$15K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2022 | 12 | $232.00 | |
| 2023 | 26 | $762.56 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 60% | 26 | 26 | $594.66 |
| D1120 | Dental cleaning, childProphylaxis - child | 40% | 12 | 12 | $399.90 |
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 officialWOLF, TYLER (OWNER DENTIST)