Northern Dental Group, PC

Northern Dental Group, PC was paid $178K by Medicaid between Jan 2018 and Dec 2023, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 34% of everything it billed.

33Billing provider infoNORTHERN DENTAL GROUP, PC
PELLSTON, MI 49769

33aNPI1629265293assigned 09/27/2007

33bProvider typeDentist

28Total paid$178K

24GClaims5,900

24DCodes billed11

24AFirst – last monthJan 2018 – Dec 2023

Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#206 of 1,033

Median peer was paid$15K

This provider vs. median12×

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	1,144	$35K
2019	942	$30K
2020	648	$18K
2021	1,226	$36K
2022	1,054	$32K
2023	886	$27K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	34%	1,645	1,644	$60K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	28%	1,966	1,964	$50K
D1208	Topical application of fluoride, excluding varnish	13%	1,075	1,074	$23K
D1110	Prophylaxis - adult	9.9%	364	364	$18K
D0274	Bitewings - four radiographic images	6.8%	380	380	$12K
D1206	Topical application of fluoride varnish	4.6%	354	354	$8K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1.2%	18	12	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.0%	21	13	$2K
D0330	Panoramic radiographic image	<1%	27	27	$2K
D0150	Comprehensive oral evaluation - new or established patient	<1%	24	24	$915.00
D0272	Bitewings - two radiographic images	<1%	26	26	$588.98

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 officialSOPER, PATRICIA (TREATMENT COORDINATOR)