Dental
State Street Family Dental
State Street Family Dental was paid $148K by Medicaid between Mar 2020 and Dec 2024, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
33Billing provider infoSTATE STREET FAMILY DENTAL
SAINT JOHNS, MI 48879
SAINT JOHNS, MI 48879
33aNPI1669604484assigned 08/12/2009
33bProvider typeDentist
28Total paid$148K
24GClaims4,234
24DCodes billed12
24AFirst – last monthMar 2020 – Dec 2024
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#224 of 1,033
Median peer was paid$15K
This provider vs. median9.8×
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 | |
|---|---|---|---|
| 2020 | 717 | $27K | |
| 2021 | 1,391 | $57K | |
| 2022 | 836 | $27K | |
| 2023 | 741 | $20K | |
| 2024incomplete | 549 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 827 | 827 | $32K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 1,187 | 1,187 | $31K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20% | 238 | 151 | $29K |
| D1206 | Topical application of fluoride varnish | 18% | 1,164 | 1,164 | $27K |
| D1110 | Prophylaxis - adult | 9.6% | 298 | 298 | $14K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.9% | 32 | 26 | $3K |
| D0274 | Bitewings - four radiographic images | 1.9% | 91 | 91 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 54 | 54 | $2K |
| D0240 | 1.6% | 116 | 58 | $2K | |
| D0272 | Bitewings - two radiographic images | 1.3% | 87 | 87 | $2K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 39 | 38 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 101 | 99 | $2K |
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 officialOSBORNE, JENNIFER (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Orion Family Dental Center | Lansing, MI | $964K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.