Alpine Dental Group, INC.

Alpine Dental Group, INC. was paid $5K by Medicaid between Apr 2018 and Apr 2019, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 41% of everything it billed.

33Billing provider infoALPINE DENTAL GROUP, INC.
GAYLORD, MI 49735

33aNPI1659490878assigned 03/28/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$5K

24GClaims172

24DCodes billed3

24AFirst – last monthApr 2018 – Apr 2019

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#967 of 1,554

Median peer was paid$15K

This provider vs. median0.4×

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	103	$3K
2019	69	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	41%	76	76	$2K
D1120	Dental cleaning, childProphylaxis - child	35%	45	45	$2K
D1206	Topical application of fluoride varnish	25%	51	51	$1K

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 officialKOOISTRA, RALPH (PRESIDENT)