Dental
Indian River Family Dentistry PLLC
Indian River Family Dentistry PLLC was paid $352K by Medicaid between Apr 2018 and Dec 2024, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoINDIAN RIVER FAMILY DENTISTRY PLLC
INDIAN RIVER, MI 49749
INDIAN RIVER, MI 49749
33aNPI1588179071assigned 12/06/2017
33bProvider typeDentist
28Total paid$352K
24GClaims9,910
24DCodes billed11
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#139 of 1,033
Median peer was paid$15K
This provider vs. median23×
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 | 1,223 | $46K | |
| 2019 | 1,512 | $48K | |
| 2020 | 1,337 | $40K | |
| 2021 | 1,358 | $46K | |
| 2022 | 1,465 | $50K | |
| 2023 | 1,388 | $48K | |
| 2024incomplete | 1,627 | $73K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 2,391 | 2,354 | $91K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 2,566 | 2,528 | $68K |
| D1206 | Topical application of fluoride varnish | 19% | 2,794 | 2,752 | $67K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 485 | 295 | $58K |
| D1110 | Prophylaxis - adult | 12% | 857 | 842 | $41K |
| D0272 | Bitewings - two radiographic images | 3.3% | 518 | 514 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.4% | 51 | 41 | $5K |
| D0274 | Bitewings - four radiographic images | 1.3% | 159 | 154 | $5K |
| D0330 | Panoramic radiographic image | <1% | 27 | 27 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 29 | 29 | $1K |
| D1351 | Sealant - per tooth | <1% | 33 | 13 | $957.00 |
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 officialWEISBERGER, AARON (CO-OWNER)