Dental
Lake City Family Dentistry
Lake City Family Dentistry was paid $30K by Medicaid between Sep 2020 and Jun 2021, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.
33Billing provider infoLAKE CITY FAMILY DENTISTRY
LAKE CITY, MI 49651
LAKE CITY, MI 49651
33aNPI1528686748assigned 07/14/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$30K
24GClaims897
24DCodes billed10
24AFirst – last monthSep 2020 – Jun 2021
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#614 of 1,554
Median peer was paid$15K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2020 | 437 | $15K | |
| 2021 | 460 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 212 | 212 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 202 | 202 | $5K |
| D1206 | Topical application of fluoride varnish | 14% | 181 | 181 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 50 | 50 | $3K |
| D1110 | Prophylaxis - adult | 11% | 69 | 69 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 76 | 76 | $3K |
| D1351 | Sealant - per tooth | 4.1% | 64 | 12 | $1K |
| D0274 | Bitewings - four radiographic images | 1.7% | 16 | 16 | $510.02 |
| D1208 | Topical application of fluoride, excluding varnish | 1.1% | 13 | 13 | $312.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 14 | 13 | $216.00 |
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 officialMARSH, BETH (INSURANCE COORDINATOR)