Clinic
Third Coast Dentistry
Third Coast Dentistry was paid $47K by Medicaid between Apr 2024 and Dec 2024, across 13 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 17% of everything it billed.
33Billing provider infoTHIRD COAST DENTISTRY
IONIA, MI 48846
IONIA, MI 48846
33aNPI1902668932assigned 01/25/2024
33bProvider typeDental Clinic/Center
28Total paid$47K
24GClaims1,203
24DCodes billed13
24AFirst – last monthApr 2024 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#171 of 431
Median peer was paid$24K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2024incomplete | 1,203 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 17% | 175 | 173 | $8K |
| D1110 | Prophylaxis - adult | 17% | 145 | 145 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 45 | 32 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 12% | 37 | 24 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.8% | 170 | 170 | $5K |
| D0330 | Panoramic radiographic image | 9.1% | 67 | 66 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 6.6% | 203 | 195 | $3K |
| D0274 | Bitewings - four radiographic images | 5.3% | 150 | 150 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.0% | 23 | 13 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 27 | 27 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 130 | 62 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.1% | 12 | 12 | $519.00 |
1 more codes
| D1208 | Topical application of fluoride, excluding varnish | <1% | 19 | $468.00 |
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 officialSTEBBINS, NICK (OWNER/CHIEF OPERATIONS OFFICER)