Garden City Family Dentistry

Garden City Family Dentistry was paid $6K by Medicaid between Apr 2018 and Nov 2024, across 4 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 53% of everything it billed.

33Billing provider infoGARDEN CITY FAMILY DENTISTRY
GARDEN CITY, MI 48135

33aNPI1790145381assigned 02/25/2016

33bProvider typeDentist

28Total paid$6K

24GClaims295

24DCodes billed4

24AFirst – last monthApr 2018 – Nov 2024

Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#663 of 1,033

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	26	$858.00
2019	14	$300.00
2020	66	$426.73
2021	53	$1K
2022	60	$990.93
2023	38	$938.43
2024incomplete	38	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	53%	155	153	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	72	72	$2K
D1120	Dental cleaning, childProphylaxis - child	18%	27	27	$1K
D1999		0%	41	36	$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 officialDELISE, CHERYL (BUSINESS MANAGER)

Parent organizationDENTAL ACQUISITIONS GROUP