Clinic
Thunder Bay Community Health Service, INC
Thunder Bay Community Health Service, INC was paid $5K by Medicaid between Oct 2019 and Oct 2019, across 7 billing codes. Its largest line is D1351, Sealant - per tooth — 21% of everything it billed.
33Billing provider infoTHUNDER BAY COMMUNITY HEALTH SERVICE, INC
ROGERS CITY, MI 49779
ROGERS CITY, MI 49779
33aNPI1609435536assigned 06/13/2019
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$5K
24GClaims189
24DCodes billed7
24AFirst – last monthOct 2019 – Oct 2019
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
Rank by total paid#228 of 241
Median peer was paid$477K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 189 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 21% | 55 | 14 | $1K |
| D0274 | Bitewings - four radiographic images | 17% | 25 | 25 | $900.00 |
| D1354 | 16% | 36 | 12 | $850.00 | |
| D1110 | Prophylaxis - adult | 13% | 13 | 13 | $702.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 24 | 24 | $672.00 |
| D1206 | Topical application of fluoride varnish | 10.0% | 22 | 22 | $525.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 9.9% | 14 | 14 | $520.00 |
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 officialBOLANOWSKI, HEIDE (CREDENTIALING SPECIALIST)