Dental
Mid Michigan General Dentistry
Mid Michigan General Dentistry was paid $147K by Medicaid between Sep 2018 and Dec 2024, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoMID MICHIGAN GENERAL DENTISTRY
POTTERVILLE, MI 48876
POTTERVILLE, MI 48876
33aNPI1437172491assigned 07/25/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$147K
24GClaims5,295
24DCodes billed15
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#300 of 1,554
Median peer was paid$15K
This provider vs. median10×
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 | 198 | $5K | |
| 2019 | 162 | $4K | |
| 2020 | 245 | $6K | |
| 2021 | 1,227 | $32K | |
| 2022 | 887 | $21K | |
| 2023 | 1,674 | $56K | |
| 2024incomplete | 902 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 964 | 961 | $34K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 1,077 | 1,071 | $26K |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 1,198 | 1,195 | $25K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 138 | 73 | $16K |
| D1110 | Prophylaxis - adult | 4.9% | 164 | 163 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 4.8% | 463 | 451 | $7K |
| D2740 | Crown - porcelain/ceramic | 4.7% | 12 | 12 | $7K |
| D0240 | 3.5% | 275 | 138 | $5K | |
| D0230 | Intraoral - periapical each additional radiographic image | 3.5% | 589 | 391 | $5K |
| D0140 | Limited oral evaluation - problem focused | 2.4% | 79 | 79 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 84 | 84 | $3K |
| D0272 | Bitewings - two radiographic images | 1.9% | 132 | 132 | $3K |
3 more codes
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 officialMAU, KRISTIN (PARTNER)