Dental
Alcona Citizens for Health, INC.
Alcona Citizens for Health, INC. was paid $25.56M by Medicaid between Jan 2018 and Dec 2024, across 212 billing codes. Its largest line is G0467, community health center visit, returning patient — 43% of everything it billed.
33Billing provider infoALCONA CITIZENS FOR HEALTH, INC.
HARRISVILLE, MI 48740
HARRISVILLE, MI 48740
33aNPI1326055450assigned 08/02/2006
33bProvider typeDentist
28Total paid$25.56M
24GClaims1,687,363
24DCodes billed212
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#5 of 1,033
Median peer was paid$15K
This provider vs. median1,697×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SPENCER, NANCY controls 20+ related entities in our dataset. Read more
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 | 142,762 | $3.78M | |
| 2019 | 108,525 | $3.12M | |
| 2020 | 90,431 | $2.74M | |
| 2021 | 267,038 | $3.91M | |
| 2022 | 382,758 | $4.11M | |
| 2023 | 375,947 | $4.17M | |
| 2024incomplete | 319,902 | $3.74M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 43% | 241,157 | 202,362 | $11.02M |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | 11% | 56,523 | 34,676 | $2.70M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7.2% | 77,148 | 70,300 | $1.84M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.5% | 115,954 | 102,348 | $1.65M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.9% | 23,868 | 15,920 | $750K |
| D1110 | Prophylaxis - adult | 2.6% | 7,679 | 7,666 | $653K |
| G0466 | Community health center visit, new patientFederally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 2.5% | 10,888 | 10,801 | $639K |
| D0140 | Limited oral evaluation - problem focused | 1.6% | 4,472 | 4,424 | $404K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.6% | 8,807 | 8,790 | $401K |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 4,822 | 2,210 | $367K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.0% | 13,374 | 9,873 | $267K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 6,927 | 6,899 | $255K |
200 more codes
| D1120 | Dental cleaning, child | <1% | 6,282 | $254K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 5,873 | $237K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 15,078 | $231K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 5,491 | $221K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 3,035 | $214K |
| D1206 | Topical application of fluoride varnish | <1% | 7,586 | $194K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 5,093 | $194K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 4,657 | $175K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 5,611 | $153K |
| Q3014 | Telehealth originating site facility fee | <1% | 9,895 | $136K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,126 | $123K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,328 | $121K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 3,138 | $110K |
| G0469 | Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | <1% | 2,066 | $107K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,583 | $105K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 1,597 | $100K |
| D0274 | Bitewings - four radiographic images | <1% | 4,087 | $91K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 4,113 | $91K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 894 | $90K |
| 87428 | <1% | 5,109 | $70K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14,452 | $69K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 11,985 | $65K |
| D2331 | <1% | 717 | $64K | |
| G9002 | Coordinated care fee, maintenance rate | <1% | 3,505 | $62K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,010 | $61K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 3,315 | $61K |
| D1351 | Sealant - per tooth | <1% | 2,130 | $54K |
| D0330 | Panoramic radiographic image | <1% | 1,063 | $52K |
| 90651 | <1% | 2,104 | $50K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,567 | $48K |
| 90632 | <1% | 1,746 | $47K | |
| D2140 | <1% | 540 | $47K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 5,067 | $45K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,496 | $45K |
| D2160 | <1% | 402 | $42K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 3,105 | $41K |
| D0272 | Bitewings - two radiographic images | <1% | 1,742 | $39K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 8,177 | $39K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 1,283 | $39K |
| 90688 | <1% | 4,950 | $38K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 8,553 | $36K |
| G9001 | Coordinated care fee, initial rate | <1% | 886 | $35K |
| 90715 | <1% | 2,820 | $26K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 173 | $25K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 2,277 | $25K |
| 99496 | <1% | 696 | $23K | |
| 90620 | <1% | 966 | $20K | |
| 99495 | <1% | 744 | $19K | |
| D2330 | <1% | 203 | $18K | |
| 99381 | <1% | 806 | $18K | |
| 90746 | <1% | 519 | $17K | |
| 90677 | <1% | 404 | $15K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,307 | $14K |
| D2335 | <1% | 107 | $13K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,541 | $12K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 1,438 | $12K |
| 80305 | <1% | 2,859 | $10K | |
| 90670 | <1% | 2,406 | $10K | |
| 81025 | <1% | 3,463 | $9K | |
| 0001A | <1% | 294 | $9K | |
| 83037 | <1% | 1,777 | $9K | |
| D2161 | <1% | 75 | $8K | |
| 0002A | <1% | 251 | $8K | |
| 98929 | <1% | 358 | $8K | |
| 81003 | <1% | 11,724 | $8K | |
| 0031A | <1% | 589 | $8K | |
| 90686 | <1% | 3,560 | $7K | |
| D4910 | <1% | 79 | $7K | |
| 0064A | <1% | 208 | $7K | |
| 92587 | <1% | 918 | $7K | |
| 90750 | <1% | 89 | $7K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,678 | $7K |
| 0012A | <1% | 201 | $6K | |
| 17110 | <1% | 184 | $6K | |
| G9007 | Coordinated care fee, scheduled team conference | <1% | 679 | $6K |
| 0011A | <1% | 251 | $6K | |
| 91322 | <1% | 57 | $6K | |
| 0124A | <1% | 164 | $5K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,621 | $5K |
| 99383 | <1% | 131 | $4K | |
| 99406 | <1% | 994 | $4K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 3,088 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 480 | $4K |
| 90480 | <1% | 134 | $4K | |
| 93000 | <1% | 925 | $4K | |
| 87807 | <1% | 793 | $4K | |
| 90658 | <1% | 225 | $4K | |
| 0004A | <1% | 107 | $4K | |
| 90707 | <1% | 337 | $3K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 115 | $3K |
| D2332 | <1% | 33 | $3K | |
| 99382 | <1% | 93 | $3K | |
| D0191 | <1% | 165 | $3K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 3,804 | $3K |
| 92551 | <1% | 936 | $3K | |
| 0071A | <1% | 70 | $2K | |
| 90734 | <1% | 1,099 | $2K | |
| 90656 | <1% | 398 | $2K | |
| D2940 | <1% | 26 | $2K | |
| 0134A | <1% | 59 | $2K | |
| 90473 | <1% | 884 | $2K | |
| 0054A | <1% | 66 | $2K | |
| 0072A | <1% | 57 | $2K | |
| 20610 | <1% | 81 | $2K | |
| 90619 | <1% | 643 | $2K | |
| 90739 | <1% | 28 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 335 | $1K |
| 91320 | <1% | 16 | $1K | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 221 | $1K |
| 85018 | <1% | 1,141 | $945.82 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 233 | $862.14 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 146 | $780.49 |
| 82044 | <1% | 335 | $739.09 | |
| 82947 | <1% | 583 | $702.05 | |
| 87280 | <1% | 101 | $696.97 | |
| 99001 | <1% | 439 | $632.03 | |
| 90732 | <1% | 14 | $600.00 | |
| 90785 | <1% | 148 | $471.00 | |
| 0034A | <1% | 14 | $454.32 | |
| 0013A | <1% | 12 | $434.28 | |
| 99201 | <1% | 39 | $402.90 | |
| 90716 | <1% | 143 | $347.41 | |
| 83655 | <1% | 104 | $330.99 | |
| 99442 | <1% | 26 | $293.55 | |
| D1354 | <1% | 14 | $293.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 187 | $273.26 |
| 96380 | <1% | 14 | $239.35 | |
| 81002 | <1% | 279 | $238.69 | |
| 96127 | <1% | 184 | $238.48 | |
| 99441 | <1% | 29 | $204.73 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 50 | $181.81 |
| 98968 | <1% | 17 | $140.01 | |
| 99177 | <1% | 1,643 | $115.97 | |
| 85610 | <1% | 61 | $114.52 | |
| J2919 | Injection, methylprednisolone sodium succinate, 5 mg | <1% | 25 | $112.12 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 76 | $107.67 |
| 86580 | <1% | 20 | $98.24 | |
| 90662 | <1% | 82 | $98.00 | |
| 97802 | <1% | 95 | $85.00 | |
| 98967 | <1% | 14 | $54.03 | |
| 96160 | <1% | 2,049 | $8.32 | |
| 92558 | <1% | 31 | $5.33 | |
| 3060F | <1% | 2,102 | $0.18 | |
| 1159F | <1% | 615 | $0.01 | |
| 3354F | 0% | 3,146 | $0.00 | |
| 90647 | 0% | 585 | $0.00 | |
| 90696 | 0% | 628 | $0.00 | |
| 3351F | 0% | 11,988 | $0.00 | |
| 3008F | 0% | 91,927 | $0.00 | |
| 3074F | 0% | 70,840 | $0.00 | |
| 3353F | 0% | 6,877 | $0.00 | |
| 2000F | 0% | 94,079 | $0.00 | |
| 1101F | 0% | 2,114 | $0.00 | |
| 1000F | 0% | 88,974 | $0.00 | |
| 3080F | 0% | 6,409 | $0.00 | |
| 3079F | 0% | 28,600 | $0.00 | |
| 1220F | 0% | 16,793 | $0.00 | |
| 3044F | 0% | 307 | $0.00 | |
| 90680 | 0% | 1,379 | $0.00 | |
| 1034F | 0% | 27,666 | $0.00 | |
| 90723 | 0% | 141 | $0.00 | |
| 3352F | 0% | 9,934 | $0.00 | |
| 3075F | 0% | 14,965 | $0.00 | |
| 2001F | 0% | 103,906 | $0.00 | |
| 1031F | 0% | 26,449 | $0.00 | |
| 2010F | 0% | 91,474 | $0.00 | |
| 4000F | 0% | 395 | $0.00 | |
| 1036F | 0% | 58,418 | $0.00 | |
| 90697 | 0% | 624 | $0.00 | |
| 91303 | 0% | 279 | $0.00 | |
| 90698 | 0% | 918 | $0.00 | |
| 91301 | 0% | 191 | $0.00 | |
| 90744 | 0% | 591 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 107 | $0.00 |
| 91307 | 0% | 132 | $0.00 | |
| 91306 | 0% | 172 | $0.00 | |
| 90381 | 0% | 12 | $0.00 | |
| 91305 | 0% | 171 | $0.00 | |
| Q9992 | Injection, buprenorphine extended-release (sublocade), greater than 100 mg | 0% | 13 | $0.00 |
| 90461 | 0% | 6,382 | $0.00 | |
| 99173 | 0% | 1,142 | $0.00 | |
| 90710 | 0% | 1,158 | $0.00 | |
| 91312 | 0% | 160 | $0.00 | |
| 3288F | 0% | 2,343 | $0.00 | |
| 2028F | 0% | 514 | $0.00 | |
| 90633 | 0% | 1,812 | $0.00 | |
| 3078F | 0% | 59,269 | $0.00 | |
| 3077F | 0% | 8,562 | $0.00 | |
| 97803 | 0% | 17 | $0.00 | |
| 91313 | 0% | 59 | $0.00 | |
| 1033F | 0% | 15,969 | $0.00 | |
| 90685 | 0% | 230 | $0.00 | |
| 99408 | 0% | 30 | $0.00 | |
| 90700 | 0% | 480 | $0.00 | |
| 91300 | 0% | 620 | $0.00 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 14 | $0.00 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 18 | $0.00 |
| 99080 | 0% | 43 | $0.00 | |
| 3725F | 0% | 372 | $0.00 | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 0% | 15 | $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 officialSPENCER, NANCY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Alcona Citizens for Health, INC. | Alpena, MI | $580K |
| Alcona Citizens for Health, INC | Pickford, MI | $320K |
| Alcona Citizens for Health, INC. | Cheboygan, MI | $287K |
| Alcona Citizens for Health, INC. | Cheboygan, MI | $167K |
| Alcona Citizens for Health, INC. | Cheboygan, MI | $145K |
| Alcona Citizens for Health, INC. | Alpena, MI | $122K |
| Alcona Citizens for Health, INC | Cheboygan, MI | $106K |
| Alcona Citizens for Health, INC | Ann Arbor, MI | $80K |
| Alcona Citizens for Health, INC. | Harrisville, MI | $80K |
| Alcona Citizens for Health INC | Plymouth, MI | $71K |
| Alcona Citizens for Health, INC | Indian River, MI | $67K |
| Alcona Citizens for Health, INC. | Ossineke, MI | $44K |
| Alcona Citizens for Health, INC. | Alpena, MI | $43K |
| Alcona Citizens for Health, INC. | Oscoda, MI | $38K |
| Alcona Citizens for Health, INC. | Alpena, MI | $34K |
| Lakeside Birth Center LLC | Lake Tapps, WA | $14K |
| Alcona Citizens for Health, INC. | Harrisville, MI | $13K |
| Alcona Citizens for Health, INC | Pellston, MI | $10K |
| Alcona Citizens for Health, INC. | Cheboygan, MI | $3K |
| Alcona Citizens for Health, INC | Alpena, MI | $998.22 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.