Dental
Great Lakes Family Dental Group-Livonia, P.C.
Great Lakes Family Dental Group-Livonia, P.C. was paid $5K by Medicaid between Apr 2018 and Nov 2022, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 67% of everything it billed.
33Billing provider infoGREAT LAKES FAMILY DENTAL GROUP-LIVONIA, P.C.
LIVONIA, MI 48154
LIVONIA, MI 48154
33aNPI1497077630assigned 02/15/2010
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$5K
24GClaims192
24DCodes billed3
24AFirst – last monthApr 2018 – Nov 2022
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Michigan
Rank by total paid#56 of 74
Median peer was paid$37K
This provider vs. median0.1×
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 | 25 | $661.00 | |
| 2020 | 73 | $2K | |
| 2021 | 55 | $1K | |
| 2022 | 39 | $899.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 67% | 129 | 129 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 24% | 51 | 51 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.7% | 12 | 12 | $451.00 |
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 officialGRAY, C (OWNER/PRESIDENT)