Dental
ST Johns Smiles
ST Johns Smiles was paid $8K by Medicaid between Feb 2021 and Sep 2022, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 41% of everything it billed.
33Billing provider infoST JOHNS SMILES
SAINT JOHNS, MI 48879
SAINT JOHNS, MI 48879
33aNPI1417557521assigned 10/28/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$8K
24GClaims270
24DCodes billed4
24AFirst – last monthFeb 2021 – Sep 2022
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#900 of 1,554
Median peer was paid$15K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2021 | 138 | $3K | |
| 2022 | 132 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 41% | 84 | 84 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 34% | 114 | 114 | $3K |
| D1206 | Topical application of fluoride varnish | 15% | 59 | 59 | $1K |
| D1110 | Prophylaxis - adult | 9.4% | 13 | 13 | $715.00 |
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 officialBYRNES, DARLENE (OFFICE MANAGER)