Clinic
MT Pleasant Gentle Family Dentistry, PLLC
MT Pleasant Gentle Family Dentistry, PLLC was paid $220K by Medicaid between May 2022 and Dec 2024, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 33% of everything it billed.
33Billing provider infoMT PLEASANT GENTLE FAMILY DENTISTRY, PLLC
MOUNT PLEASANT, MI 48858
MOUNT PLEASANT, MI 48858
33aNPI1902553399assigned 03/04/2022
33bProvider typeDental Clinic/Center
28Total paid$220K
24GClaims5,285
24DCodes billed13
24AFirst – last monthMay 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#98 of 431
Median peer was paid$24K
This provider vs. median9.1×
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 | |
|---|---|---|---|
| 2022 | 1,377 | $57K | |
| 2023 | 1,890 | $88K | |
| 2024incomplete | 2,018 | $76K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 33% | 641 | 421 | $73K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 697 | 697 | $28K |
| D1110 | Prophylaxis - adult | 8.8% | 422 | 422 | $19K |
| D1351 | Sealant - per tooth | 8.2% | 594 | 77 | $18K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.1% | 657 | 657 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.3% | 398 | 398 | $16K |
| D1206 | Topical application of fluoride varnish | 5.3% | 451 | 451 | $12K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.3% | 71 | 56 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 3.2% | 330 | 330 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 405 | 404 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 2.9% | 93 | 93 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.7% | 410 | 174 | $4K |
1 more codes
| D0274 | Bitewings - four radiographic images | 1.5% | 116 | $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 officialKIM, JUNG KEUN (DENTIST)