Dental
Charlevoix Family Dentistry PLC
Charlevoix Family Dentistry PLC was paid $4K by Medicaid between Apr 2018 and Jan 2024, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 46% of everything it billed.
33Billing provider infoCHARLEVOIX FAMILY DENTISTRY PLC
CHARLEVOIX, MI 49720
CHARLEVOIX, MI 49720
33aNPI1417066077assigned 08/29/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$4K
24GClaims145
24DCodes billed3
24AFirst – last monthApr 2018 – Jan 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#1,044 of 1,554
Median peer was paid$15K
This provider vs. median0.2×
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 | 61 | $1K | |
| 2021 | 15 | $252.00 | |
| 2023 | 24 | $648.88 | |
| 2024incomplete | 45 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 46% | 72 | 72 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 29% | 30 | 30 | $1K |
| D1206 | Topical application of fluoride varnish | 25% | 43 | 42 | $904.46 |
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 officialPARAMO, GLENN (OWNER DENTIST)