Managed care
Michigan Dentists PLLC
Michigan Dentists PLLC was paid $6K by Medicaid between Sep 2022 and Apr 2024, across 4 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 41% of everything it billed.
33Billing provider infoMICHIGAN DENTISTS PLLC
JACKSON, MI 49201
JACKSON, MI 49201
33aNPI1376152504assigned 07/23/2020
33bProvider typePoint of Service
28Total paid$6K
24GClaims207
24DCodes billed4
24AFirst – last monthSep 2022 – Apr 2024
Compared with peers
Next to other Point of Service providers in Michigan
Rank by total paid#8 of 8
Median peer was paid$218K
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 | |
|---|---|---|---|
| 2022 | 42 | $976.00 | |
| 2023 | 140 | $4K | |
| 2024incomplete | 25 | $603.31 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 41% | 112 | 111 | $2K |
| D1110 | Prophylaxis - adult | 22% | 24 | 24 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 45 | 45 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 26 | 26 | $906.00 |
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 officialNOTTEN, CHERYL (OFFICE MANAGER)