Clinic
Dowagiac Family Dentistry, PC
Dowagiac Family Dentistry, PC was paid $85K by Medicaid between Jul 2020 and Dec 2024, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.
33Billing provider infoDOWAGIAC FAMILY DENTISTRY, PC
DOWAGIAC, MI 49047
DOWAGIAC, MI 49047
33aNPI1811414931assigned 08/29/2017
33bProvider typeDental Clinic/Center
28Total paid$85K
24GClaims3,138
24DCodes billed7
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#146 of 431
Median peer was paid$24K
This provider vs. median3.5×
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 | 211 | $6K | |
| 2021 | 662 | $17K | |
| 2022 | 692 | $18K | |
| 2023 | 706 | $20K | |
| 2024incomplete | 867 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 33% | 809 | 805 | $28K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 30% | 1,018 | 1,013 | $25K |
| D1206 | Topical application of fluoride varnish | 28% | 1,129 | 1,123 | $24K |
| D1110 | Prophylaxis - adult | 5.0% | 85 | 85 | $4K |
| D1351 | Sealant - per tooth | 2.5% | 69 | 12 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 16 | 12 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 12 | 12 | $480.00 |
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 officialGILLESBY, JONATHAN (PRESIDENT)