Dental
Royal Oak Family Dentistry PC
Royal Oak Family Dentistry PC was paid $300.00 by Medicaid between Aug 2018 and Aug 2018, across 1 billing code. Its largest line is D1206, Topical application of fluoride varnish — 100% of everything it billed.
33Billing provider infoROYAL OAK FAMILY DENTISTRY PC
ROYAL OAK, MI 48067
ROYAL OAK, MI 48067
33aNPI1477792620assigned 02/11/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$300.00
24GClaims12
24DCodes billed1
24AFirst – last monthAug 2018 – Aug 2018
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#1,485 of 1,554
Median peer was paid$15K
This provider vs. median0.0×
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 | 12 | $300.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 100% | 12 | 12 | $300.00 |
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 officialCOSTELLO, DANIEL (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Royal Oak Family Dentistry | Royal Oak, MI | $756.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.