Glen Valley Dentistry

Glen Valley Dentistry was paid $22K by Medicaid between Jul 2020 and Sep 2023, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 33% of everything it billed.

33Billing provider infoGLEN VALLEY DENTISTRY
CALEDONIA, MI 49316

33aNPI1538100482assigned 06/10/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$22K

24GClaims781

24DCodes billed7

24AFirst – last monthJul 2020 – Sep 2023

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#669 of 1,554

Median peer was paid$15K

This provider vs. median1.5×

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	55	$1K
2021	81	$2K
2022	303	$9K
2023	342	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	33%	296	296	$7K
D1120	Dental cleaning, childProphylaxis - child	32%	190	190	$7K
D1206	Topical application of fluoride varnish	21%	220	220	$5K
D1110	Prophylaxis - adult	7.3%	30	30	$2K
D0150	Comprehensive oral evaluation - new or established patient	3.8%	18	18	$846.00
D0274	Bitewings - four radiographic images	2.1%	15	15	$472.10
D0272	Bitewings - two radiographic images	1.2%	12	12	$272.15

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 officialVAUGHAN, ROBIN (OWNER/DENTIST)