Clinic
Lake State Dental PLLC
Lake State Dental PLLC was paid $4K by Medicaid between Oct 2023 and Jul 2024, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 43% of everything it billed.
33Billing provider infoLAKE STATE DENTAL PLLC
STURGIS, MI 49091
STURGIS, MI 49091
33aNPI1942986476assigned 06/27/2023
33bProvider typeDental Clinic/Center
28Total paid$4K
24GClaims149
24DCodes billed3
24AFirst – last monthOct 2023 – Jul 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#308 of 431
Median peer was paid$24K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2023 | 38 | $1K | |
| 2024incomplete | 111 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 43% | 67 | 67 | $2K |
| D1206 | Topical application of fluoride varnish | 40% | 65 | 65 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 17 | 17 | $735.25 |
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 officialSTICKLER, CLAIRE (DR.)