Dental
Grand Ledge Family Dentistry, PLLC
Grand Ledge Family Dentistry, PLLC was paid $2K by Medicaid between Mar 2021 and Jul 2023, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 75% of everything it billed.
33Billing provider infoGRAND LEDGE FAMILY DENTISTRY, PLLC
GRAND LEDGE, MI 48837
GRAND LEDGE, MI 48837
33aNPI1972199156assigned 12/11/2020
33bProvider typeDentist
28Total paid$2K
24GClaims106
24DCodes billed3
24AFirst – last monthMar 2021 – Jul 2023
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#815 of 1,033
Median peer was paid$15K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2021 | 26 | $371.23 | |
| 2022 | 54 | $916.00 | |
| 2023 | 26 | $495.14 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 75% | 80 | 80 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 12 | 12 | $252.00 |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 14 | 14 | $200.00 |
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 officialMULDER, KYLE (OWNER)