Dental
Eastern Dental PLC
Eastern Dental PLC was paid $1.35M by Medicaid between Apr 2018 and Dec 2024, across 19 billing codes. Its largest line is D2150, Silver amalgam - two surfaces, primary or permanent — 14% of everything it billed.
33Billing provider infoEASTERN DENTAL PLC
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
33aNPI1033308952assigned 10/16/2007
33bProvider typeDentist
28Total paid$1.35M
24GClaims39,921
24DCodes billed19
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#55 of 1,033
Median peer was paid$15K
This provider vs. median89×
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 | 2,609 | $82K | |
| 2019 | 99 | $2K | |
| 2020 | 6,829 | $218K | |
| 2021 | 8,139 | $261K | |
| 2022 | 7,495 | $234K | |
| 2023 | 7,766 | $305K | |
| 2024incomplete | 6,984 | $246K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2150 | Silver amalgam - two surfaces, primary or permanent | 14% | 2,166 | 1,389 | $190K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 4,391 | 4,391 | $177K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 5,428 | 5,428 | $151K |
| D2140 | 11% | 2,098 | 1,472 | $145K | |
| D1208 | Topical application of fluoride, excluding varnish | 9.2% | 5,185 | 5,185 | $124K |
| D1110 | Prophylaxis - adult | 8.4% | 2,141 | 2,141 | $113K |
| D0274 | Bitewings - four radiographic images | 5.9% | 2,334 | 2,334 | $80K |
| D0220 | Intraoral - periapical first radiographic image | 5.7% | 4,541 | 4,520 | $76K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.4% | 7,760 | 3,968 | $72K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.9% | 294 | 208 | $53K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.5% | 1,055 | 1,055 | $47K |
| D7140 | Extraction, erupted tooth or exposed root | 2.9% | 445 | 307 | $38K |
7 more codes
| D0272 | Bitewings - two radiographic images | 2.7% | 1,496 | $36K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.4% | 276 | $32K |
| D1206 | Topical application of fluoride varnish | <1% | 225 | $7K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 38 | $3K |
| D4355 | <1% | 12 | $1K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 24 | $946.00 |
| D0191 | <1% | 12 | $168.00 |
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 officialAMIRI, KOUROSH (OWNER/DENTIST)