Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Portage › NPI 1639204852
Dental

General Dentistry PC

General Dentistry PC was paid $573.00 by Medicaid between Jun 2022 and Jun 2022, across 1 billing code. Its largest line is D1110, Prophylaxis - adult — 100% of everything it billed.

33Billing provider infoGENERAL DENTISTRY PC
PORTAGE, MI 49024
33aNPI1639204852assigned 02/21/2007
33bProvider typeDentist
28Total paid$573.00
24GClaims13
24DCodes billed1
24AFirst – last monthJun 2022 – Jun 2022
Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#954 of 1,033
Median peer was paid$15K
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

$0$200$400$6002018201920202021202220232024
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
YearClaimsPaid
202213$573.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 100% 13 12 $573.00

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 officialNICOLA, ROBERT (OWNER)