Clinic
Lake Odessa Dental, PLLC
Lake Odessa Dental, PLLC was paid $715.00 by Medicaid between Dec 2020 and Dec 2020, across 2 billing codes. Its largest line is D1120, dental cleaning, child — 62% of everything it billed.
33Billing provider infoLAKE ODESSA DENTAL, PLLC
LAKE ODESSA, MI 48849
LAKE ODESSA, MI 48849
33aNPI1851889471assigned 04/30/2018
33bProvider typeDental Clinic/Center
28Total paid$715.00
24GClaims25
24DCodes billed2
24AFirst – last monthDec 2020 – Dec 2020
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#390 of 431
Median peer was paid$24K
This provider vs. median0.0×
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 | 25 | $715.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 62% | 12 | 12 | $440.00 |
| D1206 | Topical application of fluoride varnish | 38% | 13 | 13 | $275.00 |
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 officialCRETE, MICHAEL (MEMBER)