Clinic
Sparta Family Dentistry PLLC
Sparta Family Dentistry PLLC was paid $3K by Medicaid between Nov 2023 and Jul 2024, across 3 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 50% of everything it billed.
33Billing provider infoSPARTA FAMILY DENTISTRY PLLC
SPARTA, MI 49345
SPARTA, MI 49345
33aNPI1497493258assigned 05/23/2022
33bProvider typeDental Clinic/Center
28Total paid$3K
24GClaims101
24DCodes billed3
24AFirst – last monthNov 2023 – Jul 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#330 of 431
Median peer was paid$24K
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 | |
|---|---|---|---|
| 2023 | 24 | $586.31 | |
| 2024incomplete | 77 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 50% | 52 | 52 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 34% | 36 | 36 | $965.50 |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 13 | 13 | $441.06 |
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 officialGOODYKE, AUSTIN (DENTIST/OWNER)