Hudsonvile Family Dentistry

Hudsonvile Family Dentistry was paid $149K by Medicaid between Apr 2018 and Dec 2024, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 32% of everything it billed.

33Billing provider infoHUDSONVILE FAMILY DENTISTRY
HUDSONVILLE, MI 49426

33aNPI1932339199assigned 07/22/2009

33bProvider typeGeneral Practice Dentistry

28Total paid$149K

24GClaims5,666

24DCodes billed8

24AFirst – last monthApr 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#296 of 1,554

Median peer was paid$15K

This provider vs. median10×

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	495	$14K
2019	818	$21K
2020	899	$20K
2021	782	$20K
2022	988	$28K
2023	1,079	$30K
2024incomplete	605	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	32%	1,380	1,380	$48K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	1,897	1,897	$44K
D1206	Topical application of fluoride varnish	22%	1,511	1,511	$32K
D0274	Bitewings - four radiographic images	9.5%	507	507	$14K
D1110	Prophylaxis - adult	6.6%	240	240	$10K
D0150	Comprehensive oral evaluation - new or established patient	<1%	16	16	$675.00
D0272	Bitewings - two radiographic images	<1%	14	14	$315.86
D1999		0%	101	97	$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 officialLUBBERS, MATTHEW (OWNER)