Clinic
Mid Michigan Dental Center P C
Mid Michigan Dental Center P C was paid $23K by Medicaid between Aug 2023 and Dec 2024, across 9 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 24% of everything it billed.
33Billing provider infoMID MICHIGAN DENTAL CENTER P C
OWOSSO, MI 48867
OWOSSO, MI 48867
33aNPI1407439540assigned 05/05/2021
33bProvider typeDental Clinic/Center
28Total paid$23K
24GClaims542
24DCodes billed9
24AFirst – last monthAug 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#221 of 431
Median peer was paid$24K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2023 | 134 | $3K | |
| 2024incomplete | 408 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 24% | 59 | 31 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 32 | 13 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 156 | 156 | $4K |
| D1206 | Topical application of fluoride varnish | 15% | 134 | 134 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.2% | 59 | 59 | $2K |
| D1110 | Prophylaxis - adult | 6.9% | 30 | 30 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 26 | 26 | $1K |
| D0140 | Limited oral evaluation - problem focused | 5.2% | 25 | 25 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 21 | 17 | $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 officialJAFRI, AYAZ (PRESIDENT)