Clinic
Spring Lake Family Dentistry
Spring Lake Family Dentistry was paid $303K by Medicaid between Aug 2018 and Dec 2024, across 14 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 57% of everything it billed.
33Billing provider infoSPRING LAKE FAMILY DENTISTRY
SPRING LAKE, MI 49456
SPRING LAKE, MI 49456
33aNPI1396136271assigned 02/12/2015
33bProvider typeDental Clinic/Center
28Total paid$303K
24GClaims3,727
24DCodes billed14
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#88 of 431
Median peer was paid$24K
This provider vs. median13×
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 | 26 | $982.00 | |
| 2020 | 13 | $322.66 | |
| 2021 | 218 | $5K | |
| 2022 | 416 | $9K | |
| 2023 | 1,630 | $163K | |
| 2024incomplete | 1,424 | $125K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 57% | 274 | 164 | $174K |
| D2950 | 14% | 238 | 143 | $43K | |
| D1110 | Prophylaxis - adult | 7.1% | 425 | 425 | $22K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.7% | 554 | 554 | $14K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.8% | 90 | 50 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 679 | 645 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.7% | 744 | 377 | $5K |
| D0140 | Limited oral evaluation - problem focused | 1.4% | 99 | 98 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.4% | 46 | 28 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 91 | 91 | $4K |
| D1206 | Topical application of fluoride varnish | 1.3% | 209 | 209 | $4K |
| D0330 | Panoramic radiographic image | 1.2% | 70 | 70 | $4K |
2 more codes
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 officialVANITTERSUM, JARED (OWNER/DENTIST)