Dental
Mortimer Family Dentistry, PC
Mortimer Family Dentistry, PC was paid $24K by Medicaid between Aug 2018 and Dec 2024, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 36% of everything it billed.
33Billing provider infoMORTIMER FAMILY DENTISTRY, PC
BURTON, MI 48519
BURTON, MI 48519
33aNPI1417121732assigned 04/17/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$24K
24GClaims801
24DCodes billed3
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#652 of 1,554
Median peer was paid$15K
This provider vs. median1.7×
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 | 37 | $983.00 | |
| 2020 | 37 | $1K | |
| 2021 | 109 | $3K | |
| 2022 | 82 | $2K | |
| 2023 | 349 | $11K | |
| 2024incomplete | 187 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 36% | 313 | 313 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 33% | 193 | 193 | $8K |
| D1206 | Topical application of fluoride varnish | 32% | 295 | 295 | $8K |
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 officialMORTIMER, SCOTT (PRESIDENT)