Dental
Upper Michigan Oral & Maxillofacial Surgery PC
Upper Michigan Oral & Maxillofacial Surgery PC was paid $715.00 by Medicaid between Mar 2021 and Mar 2021, across 1 billing code. Its largest line is D0140, Limited oral evaluation - problem focused — 100% of everything it billed.
33Billing provider infoUPPER MICHIGAN ORAL & MAXILLOFACIAL SURGERY PC
MARQUETTE, MI 49855
MARQUETTE, MI 49855
33aNPI1316110778assigned 04/08/2008
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$715.00
24GClaims12
24DCodes billed1
24AFirst – last monthMar 2021 – Mar 2021
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Michigan
Rank by total paid#70 of 74
Median peer was paid$37K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 12 | $715.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 100% | 12 | 12 | $715.00 |
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 officialSTANCHINA, RICHARD (PRESIDENT)