Great Lakes Jaw Surgery, PC

Great Lakes Jaw Surgery, PC was paid $9K by Medicaid between Oct 2020 and Apr 2021, across 3 billing codes. Its largest line is D9223, Deep sedation/general anesthesia - each subsequent 15 minute increment — 43% of everything it billed.

33Billing provider infoGREAT LAKES JAW SURGERY, PC
GRAND RAPIDS, MI 49508

33aNPI1326291816assigned 10/28/2008

33bProvider typeOral and Maxillofacial Surgery (Dentist)

28Total paid$9K

24GClaims116

24DCodes billed3

24AFirst – last monthOct 2020 – Apr 2021

Compared with peers

Next to other Oral and Maxillofacial Surgery (Dentist) providers in Michigan

Rank by total paid#46 of 74

Median peer was paid$37K

This provider vs. median0.3×

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
2020	70	$7K
2021	46	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	43%	40	13	$4K
D0140	Limited oral evaluation - problem focused	42%	63	63	$4K
D9222		14%	13	13	$1K

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 officialROSEMA, ROBERT (OWNER/ ORAL SURGEON)