Dental
Great Lakes Family Dental Group - Otisville, P.C.
Great Lakes Family Dental Group - Otisville, P.C. was paid $655K by Medicaid between Apr 2018 and Dec 2024, across 17 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 24% of everything it billed.
33Billing provider infoGREAT LAKES FAMILY DENTAL GROUP - OTISVILLE, P.C.
OTISVILLE, MI 48463
OTISVILLE, MI 48463
33aNPI1568554681assigned 09/28/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$655K
24GClaims14,222
24DCodes billed17
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#108 of 1,554
Median peer was paid$15K
This provider vs. median45×
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 | 1,066 | $40K | |
| 2019 | 1,572 | $62K | |
| 2020 | 1,655 | $69K | |
| 2021 | 2,448 | $122K | |
| 2022 | 2,571 | $113K | |
| 2023 | 2,722 | $137K | |
| 2024incomplete | 2,188 | $110K |
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% | 1,301 | 952 | $155K |
| D1110 | Prophylaxis - adult | 15% | 1,931 | 1,926 | $100K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 3,379 | 3,376 | $91K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 2,195 | 2,193 | $87K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.1% | 531 | 438 | $47K |
| D1206 | Topical application of fluoride varnish | 5.9% | 1,558 | 1,557 | $38K |
| D2740 | Crown - porcelain/ceramic | 5.1% | 48 | 39 | $34K |
| D1208 | Topical application of fluoride, excluding varnish | 2.9% | 806 | 805 | $19K |
| D0274 | Bitewings - four radiographic images | 2.5% | 497 | 497 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 348 | 347 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 748 | 726 | $12K |
| D0140 | Limited oral evaluation - problem focused | 1.6% | 234 | 230 | $10K |
5 more codes
| D7140 | Extraction, erupted tooth or exposed root | 1.5% | 134 | $10K |
| D0330 | Panoramic radiographic image | 1.3% | 128 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.0% | 44 | $7K |
| D0272 | Bitewings - two radiographic images | <1% | 236 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 104 | $927.75 |
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 officialREINERT, KATELYN (OFFICE MANAGER)