ST. Charles Family Dentistry

ST. Charles Family Dentistry was paid $59K by Medicaid between Jan 2018 and May 2024, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 34% of everything it billed.

33Billing provider infoST. CHARLES FAMILY DENTISTRY
SAINT CHARLES, MI 48655

33aNPI1518307768assigned 07/02/2013

33bProvider typeGeneral Practice Dentistry

28Total paid$59K

24GClaims2,190

24DCodes billed5

24AFirst – last monthJan 2018 – May 2024

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#469 of 1,554

Median peer was paid$15K

This provider vs. median4.1×

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	238	$6K
2019	422	$12K
2020	226	$6K
2021	403	$11K
2022	496	$14K
2023	345	$9K
2024incomplete	60	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	34%	799	798	$20K
D1206	Topical application of fluoride varnish	31%	800	800	$18K
D1120	Dental cleaning, childProphylaxis - child	30%	507	507	$18K
D0274	Bitewings - four radiographic images	3.3%	60	60	$2K
D1110	Prophylaxis - adult	2.0%	24	24	$1K

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 officialSEARLS-ELLIOTT, JESSICA (DENTIST)