Clinic
Mid Michigan Gentle Dental
Mid Michigan Gentle Dental was paid $140K by Medicaid between Jul 2020 and Dec 2024, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 24% of everything it billed.
33Billing provider infoMID MICHIGAN GENTLE DENTAL
CHARLOTTE, MI 48813
CHARLOTTE, MI 48813
33aNPI1558971408assigned 08/05/2020
33bProvider typeDental Clinic/Center
28Total paid$140K
24GClaims4,684
24DCodes billed13
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#114 of 431
Median peer was paid$24K
This provider vs. median5.8×
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 | 543 | $13K | |
| 2021 | 377 | $9K | |
| 2022 | 1,426 | $47K | |
| 2023 | 1,011 | $33K | |
| 2024incomplete | 1,327 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 24% | 298 | 161 | $34K |
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 894 | 893 | $31K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 921 | 917 | $22K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 979 | 978 | $20K |
| D0240 | 5.0% | 393 | 196 | $7K | |
| D1110 | Prophylaxis - adult | 4.4% | 128 | 128 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 3.8% | 344 | 341 | $5K |
| D0272 | Bitewings - two radiographic images | 2.6% | 190 | 190 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.6% | 383 | 263 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 67 | 67 | $3K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 40 | 40 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.0% | 16 | 14 | $1K |
1 more codes
| D0274 | Bitewings - four radiographic images | <1% | 31 | $962.50 |
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 officialLEZELL, JASON (CEO)
Parent organizationMID MICHIGAN GENERAL DENTISTRY