Dental
Northern Michigan Family Dentistry PLLC
Northern Michigan Family Dentistry PLLC was paid $17K by Medicaid between Jun 2018 and Jun 2022, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 67% of everything it billed.
33Billing provider infoNORTHERN MICHIGAN FAMILY DENTISTRY PLLC
CHEBOYGAN, MI 49721
CHEBOYGAN, MI 49721
33aNPI1437428364assigned 12/21/2011
33bProvider typeDentist
28Total paid$17K
24GClaims448
24DCodes billed4
24AFirst – last monthJun 2018 – Jun 2022
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#504 of 1,033
Median peer was paid$15K
This provider vs. median1.1×
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 | 104 | $3K | |
| 2019 | 143 | $5K | |
| 2020 | 102 | $4K | |
| 2021 | 87 | $4K | |
| 2022 | 12 | $660.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 67% | 233 | 233 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 163 | 162 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 5.7% | 40 | 40 | $960.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 2.8% | 12 | 12 | $480.00 |
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 officialKOENIG, NICOLE (OFFICE MANAGER)
Parent organizationNORTHERN MICHIGAN FAMILY DENTISTRY PLLC
| Provider | Location | Paid |
|---|---|---|
| Northern Michigan Family Dentistry PLLC | Gaylord, MI | $124K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.