Dental
Upper Great Lakes Family Health Center
Upper Great Lakes Family Health Center was paid $947K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.
33Billing provider infoUPPER GREAT LAKES FAMILY HEALTH CENTER
CALUMET, MI 49913
CALUMET, MI 49913
33aNPI1396295721assigned 10/10/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$947K
24GClaims15,523
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#78 of 1,554
Median peer was paid$15K
This provider vs. median65×
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 HODGES, TREVOR controls 14+ 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 | 1,900 | $123K | |
| 2019 | 1,836 | $178K | |
| 2020 | 1,946 | $123K | |
| 2021 | 3,179 | $171K | |
| 2022 | 2,546 | $133K | |
| 2023 | 1,928 | $104K | |
| 2024incomplete | 2,188 | $115K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 23% | 2,417 | 2,409 | $218K |
| D7140 | Extraction, erupted tooth or exposed root | 18% | 1,877 | 1,046 | $174K |
| D0140 | Limited oral evaluation - problem focused | 14% | 1,352 | 1,332 | $128K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 767 | 663 | $119K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.9% | 657 | 515 | $75K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.5% | 1,489 | 1,482 | $61K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.2% | 580 | 575 | $58K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.5% | 816 | 806 | $33K |
| D1206 | Topical application of fluoride varnish | 2.7% | 1,644 | 1,628 | $26K |
| D0274 | Bitewings - four radiographic images | 2.1% | 1,170 | 1,166 | $20K |
| D0330 | Panoramic radiographic image | 1.0% | 381 | 380 | $10K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,112 | 1,083 | $8K |
11 more codes
| D0210 | Intraoral - complete series of radiographic images | <1% | 42 | $3K |
| D1351 | Sealant - per tooth | <1% | 100 | $3K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 20 | $3K |
| D1354 | <1% | 71 | $2K | |
| D2331 | <1% | 14 | $2K | |
| D2330 | <1% | 15 | $2K | |
| D0191 | <1% | 83 | $1K | |
| D0272 | Bitewings - two radiographic images | <1% | 61 | $1K |
| D1330 | 0% | 823 | $0.00 | |
| D3120 | 0% | 12 | $0.00 | |
| D1310 | 0% | 20 | $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 officialHODGES, TREVOR (CEO)
| Provider | Location | Paid |
|---|---|---|
| Upper Great Lakes Family Health Center | Hancock, MI | $4.08M |
| Upper Great Lakes Family Health Center | Gwinn, MI | $1.84M |
| Upper Great Lakes Family Health Center | Gwinn, MI | $1.57M |
| Upper Great Lakes Family Health Center | Marquette, MI | $1.56M |
| Upper Great Lakes Family Health Center | Calumet, MI | $1.41M |
| Upper Great Lakes Family Health Center | Gwinn, MI | $1.27M |
| Upper Great Lakes Family Health Center | Houghton, MI | $955K |
| Upper Great Lakes Family Health Center | Lake Linden, MI | $350K |
| Upper Great Lakes Family Health Center | Menominee, MI | $337K |
| Upper Great Lakes Family Health Center | Ontonagon, MI | $167K |
| Upper Great Lakes Family Health Center | Iron River, MI | $164K |
| Upper Great Lakes Family Health Center | Hancock, MI | $32K |
| Upper Great Lakes Family Health Center | Iron River, MI | $31K |
| Upper Great Lakes Family Health Center | Lake Linden, MI | $24K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.