Great Lakes Family Dental Group-Charlotte, P.C.

Great Lakes Family Dental Group-Charlotte, P.C. was paid $13K by Medicaid between Jun 2019 and Dec 2022, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 42% of everything it billed.

33Billing provider infoGREAT LAKES FAMILY DENTAL GROUP-CHARLOTTE, P.C.
CHARLOTTE, MI 48813

33aNPI1679963987assigned 01/26/2015

33bProvider typeGeneral Practice Dentistry

28Total paid$13K

24GClaims499

24DCodes billed3

24AFirst – last monthJun 2019 – Dec 2022

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#791 of 1,554

Median peer was paid$15K

This provider vs. median0.9×

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	104	$3K
2020	159	$4K
2021	64	$1K
2022	172	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	42%	155	155	$6K
D1206	Topical application of fluoride varnish	35%	220	220	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	23%	124	124	$3K

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 officialPALSHAN, HELDA (ASSISTANT CORPORATE MANAGER)