Dental
Clarkston Family Dental
Clarkston Family Dental was paid $97K by Medicaid between Feb 2020 and Dec 2024, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 23% of everything it billed.
33Billing provider infoCLARKSTON FAMILY DENTAL
CLARKSTON, MI 48346
CLARKSTON, MI 48346
33aNPI1497946636assigned 08/05/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$97K
24GClaims3,996
24DCodes billed11
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#367 of 1,554
Median peer was paid$15K
This provider vs. median6.7×
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 | |
|---|---|---|---|
| 2020 | 283 | $6K | |
| 2021 | 435 | $10K | |
| 2022 | 704 | $16K | |
| 2023 | 1,195 | $32K | |
| 2024incomplete | 1,379 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 936 | 933 | $22K |
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 591 | 588 | $20K |
| D1206 | Topical application of fluoride varnish | 20% | 970 | 963 | $19K |
| D1110 | Prophylaxis - adult | 12% | 241 | 240 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 8.6% | 532 | 473 | $8K |
| D0274 | Bitewings - four radiographic images | 6.4% | 283 | 282 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.9% | 43 | 27 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 316 | 225 | $3K |
| D0330 | Panoramic radiographic image | 1.5% | 25 | 25 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 12 | 12 | $470.00 |
| D1999 | 0% | 47 | 42 | $0.00 |
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 officialFOSTER, JOHN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Fredericksburg Family Clinic PA | Fredericksburg, TX | $1.07M |
| Western Kentucky Hematology & Oncology Group PSC | Paducah, KY | $63K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.