Professional Dental Associates PC

Professional Dental Associates PC was paid $2K by Medicaid between May 2018 and Sep 2020, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 40% of everything it billed.

33Billing provider infoPROFESSIONAL DENTAL ASSOCIATES PC
BIG RAPIDS, MI 49307

33aNPI1992863401assigned 12/05/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$2K

24GClaims72

24DCodes billed3

24AFirst – last monthMay 2018 – Sep 2020

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#1,166 of 1,554

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
2018	12	$322.89
2019	12	$264.00
2020	48	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	40%	31	31	$815.56
D1110	Prophylaxis - adult	33%	16	16	$672.60
D1208	Topical application of fluoride, excluding varnish	26%	25	25	$528.00

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 officialMATHEWSON, KEVIN (DENTIST OWNER)