Dental
Tree Town Pediatric Dentistry PLLC
Tree Town Pediatric Dentistry PLLC was paid $4.03M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 32% of everything it billed.
33Billing provider infoTREE TOWN PEDIATRIC DENTISTRY PLLC
ANN ARBOR, MI 48104
ANN ARBOR, MI 48104
33aNPI1043608003assigned 12/29/2014
33bProvider typePediatric Dentist
28Total paid$4.03M
24GClaims74,929
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#15 of 153
Median peer was paid$464K
This provider vs. median8.7×
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 | 2,899 | $183K | |
| 2019 | 1,110 | $32K | |
| 2020 | 12,566 | $679K | |
| 2021 | 12,798 | $705K | |
| 2022 | 12,517 | $636K | |
| 2023 | 18,847 | $1.07M | |
| 2024incomplete | 14,192 | $725K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 32% | 6,676 | 1,857 | $1.29M |
| D1120 | Dental cleaning, childProphylaxis - child | 9.5% | 9,398 | 8,930 | $381K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 9.2% | 2,919 | 1,079 | $372K |
| D7140 | Extraction, erupted tooth or exposed root | 6.9% | 3,223 | 1,510 | $277K |
| D1206 | Topical application of fluoride varnish | 6.3% | 9,563 | 9,086 | $255K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.2% | 7,834 | 7,726 | $251K |
| D1351 | Sealant - per tooth | 6.0% | 7,904 | 1,889 | $242K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.7% | 1,272 | 631 | $151K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.2% | 1,373 | 814 | $127K |
| D2934 | 3.0% | 540 | 245 | $123K | |
| D0272 | Bitewings - two radiographic images | 2.8% | 4,971 | 4,709 | $112K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 7,607 | 3,281 | $100K |
13 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 2,177 | $95K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 4,661 | $85K |
| D9920 | 1.3% | 1,122 | $53K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 641 | $39K |
| D1510 | <1% | 177 | $34K | |
| D9420 | <1% | 81 | $13K | |
| D2390 | <1% | 32 | $7K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 157 | $7K |
| D1110 | Prophylaxis - adult | <1% | 148 | $6K |
| D0274 | Bitewings - four radiographic images | <1% | 99 | $4K |
| D9248 | <1% | 50 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 27 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 2,277 | $0.00 |
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 officialKIM, YOUNGJOO (PEDIATRIC DENTIST/OWNER)