Clinic
Sault Tribe of Chippewa Indians
Sault Tribe of Chippewa Indians was paid $1.67M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 44% of everything it billed.
33Billing provider infoSAULT TRIBE OF CHIPPEWA INDIANS
SAULT SAINTE MARIE, MI 49783
SAULT SAINTE MARIE, MI 49783
33aNPI1285802868assigned 02/15/2008
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.67M
24GClaims22,721
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
Rank by total paid#79 of 241
Median peer was paid$477K
This provider vs. median3.5×
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 | 2,942 | $168K | |
| 2019 | 2,931 | $160K | |
| 2020 | 1,904 | $156K | |
| 2021 | 3,622 | $274K | |
| 2022 | 3,068 | $306K | |
| 2023 | 4,338 | $344K | |
| 2024incomplete | 3,916 | $259K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 44% | 2,328 | 2,209 | $730K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 1,796 | 1,787 | $260K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 1,097 | 1,096 | $215K |
| D7140 | Extraction, erupted tooth or exposed root | 7.3% | 650 | 438 | $121K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.6% | 1,594 | 1,592 | $60K |
| D1351 | Sealant - per tooth | 3.2% | 3,018 | 610 | $54K |
| D1206 | Topical application of fluoride varnish | 3.0% | 3,150 | 3,035 | $50K |
| D1110 | Prophylaxis - adult | 2.8% | 670 | 668 | $47K |
| D1354 | 2.5% | 2,746 | 545 | $42K | |
| D0330 | Panoramic radiographic image | 1.5% | 832 | 830 | $25K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,432 | 2,355 | $17K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 397 | 395 | $16K |
8 more codes
| D0274 | Bitewings - four radiographic images | <1% | 816 | $10K |
| D0272 | Bitewings - two radiographic images | <1% | 574 | $9K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 17 | $6K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 16 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 499 | $1K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 16 | $385.50 |
| D1353 | 0% | 37 | $0.00 | |
| D1355 | 0% | 36 | $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 officialCULFA, BONNIE (DIVISION OF HEALTH DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Sault Tribe of Chippewa Indians | Sault Sainte Marie, MI | $18.55M |
| Sault Tribe of Chippewa Indians | Sault Sainte Marie, MI | $5.93M |
| Sault Tribe of Chippewa Indians | Sault Sainte Marie, MI | $1.46M |
| Sault Tribe of Chippewa Indians | Sault Sainte Marie, MI | $515K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.