Dental
Great Lakes Oral and Maxillofacial Surgery P.C.
Great Lakes Oral and Maxillofacial Surgery P.C. was paid $6K by Medicaid between Dec 2020 and Dec 2020, across 4 billing codes. Its largest line is D9243, — 53% of everything it billed.
33Billing provider infoGREAT LAKES ORAL AND MAXILLOFACIAL SURGERY P.C.
PETOSKEY, MI 49770
PETOSKEY, MI 49770
33aNPI1760008528assigned 06/17/2020
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$6K
24GClaims86
24DCodes billed4
24AFirst – last monthDec 2020 – Dec 2020
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Michigan
Rank by total paid#52 of 74
Median peer was paid$37K
This provider vs. median0.2×
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 | 86 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9243 | 53% | 34 | 17 | $3K | |
| D9239 | 28% | 18 | 17 | $2K | |
| D9310 | 19% | 16 | 16 | $1K | |
| D9612 | 0% | 18 | 17 | $0.00 |
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 officialSHEPERD, ROBERT (CEO/PRESIDENT)