ST Johns Marsh Dental PC

ST Johns Marsh Dental PC was paid $26K by Medicaid between Apr 2018 and Nov 2024, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 51% of everything it billed.

33Billing provider infoST JOHNS MARSH DENTAL PC
ALGONAC, MI 48001

33aNPI1558530477assigned 02/25/2008

33bProvider typeDentist

28Total paid$26K

24GClaims1,063

24DCodes billed5

24AFirst – last monthApr 2018 – Nov 2024

Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#443 of 1,033

Median peer was paid$15K

This provider vs. median1.7×

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
2018	117	$3K
2019	196	$5K
2020	122	$3K
2021	187	$5K
2022	152	$3K
2023	234	$6K
2024incomplete	55	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	51%	543	542	$13K
D1206	Topical application of fluoride varnish	30%	401	401	$8K
D1120	Dental cleaning, childProphylaxis - child	9.8%	67	67	$3K
D1110	Prophylaxis - adult	7.2%	38	38	$2K
D0274	Bitewings - four radiographic images	1.6%	14	14	$410.57

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 officialLAZOVSKI, LORA (VICE PRESIDENT)