Belmont Dentistry PLC

Belmont Dentistry PLC was paid $21K by Medicaid between Apr 2018 and Dec 2019, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 43% of everything it billed.

33Billing provider infoBELMONT DENTISTRY PLC
BELMONT, MI 49306

33aNPI1275987752assigned 04/20/2016

33bProvider typeDentist

28Total paid$21K

24GClaims660

24DCodes billed5

24AFirst – last monthApr 2018 – Dec 2019

Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#469 of 1,033

Median peer was paid$15K

This provider vs. median1.4×

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	274	$8K
2019	386	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	43%	232	232	$9K
D1206	Topical application of fluoride varnish	26%	226	226	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	21%	168	168	$5K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	9.1%	18	13	$2K
D0272	Bitewings - two radiographic images	1.5%	16	16	$312.00

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 officialKLOOSTER, JOHN (SOLE MEMBER)