Clinic
Hillsdale Smiles
Hillsdale Smiles was paid $49K by Medicaid between Jan 2022 and Dec 2024, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.
33Billing provider infoHILLSDALE SMILES
HILLSDALE, MI 49242
HILLSDALE, MI 49242
33aNPI1023774460assigned 11/10/2021
33bProvider typeDental Clinic/Center
28Total paid$49K
24GClaims1,597
24DCodes billed10
24AFirst – last monthJan 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#170 of 431
Median peer was paid$24K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2022 | 274 | $8K | |
| 2023 | 526 | $17K | |
| 2024incomplete | 797 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 29% | 383 | 383 | $14K |
| D1206 | Topical application of fluoride varnish | 29% | 586 | 586 | $14K |
| D1351 | Sealant - per tooth | 15% | 257 | 41 | $7K |
| D1110 | Prophylaxis - adult | 9.4% | 98 | 98 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.9% | 166 | 166 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.3% | 54 | 54 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.5% | 15 | 12 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 12 | 12 | $424.57 |
| D0272 | Bitewings - two radiographic images | <1% | 14 | 14 | $300.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12 | 12 | $187.00 |
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 officialFRAWLEY, JENNIFER (OFFICE MANAGER)