Dental
Deluxe Dental PLLC # 3
Deluxe Dental PLLC # 3 was paid $259K by Medicaid between Jan 2018 and Apr 2021, across 17 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 20% of everything it billed.
33Billing provider infoDELUXE DENTAL PLLC # 3
SHELBY TOWNSHIP, MI 48317
SHELBY TOWNSHIP, MI 48317
33aNPI1053820977assigned 09/22/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$259K
24GClaims8,384
24DCodes billed17
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#207 of 1,554
Median peer was paid$15K
This provider vs. median18×
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 | 1,572 | $43K | |
| 2019 | 3,519 | $109K | |
| 2020 | 2,140 | $67K | |
| 2021 | 1,153 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20% | 809 | 410 | $52K |
| D7140 | Extraction, erupted tooth or exposed root | 16% | 1,023 | 378 | $42K |
| D1110 | Prophylaxis - adult | 13% | 1,193 | 1,120 | $33K |
| D0210 | Intraoral - complete series of radiographic images | 12% | 943 | 887 | $30K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 1,420 | 1,349 | $28K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 9.5% | 322 | 170 | $25K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.4% | 669 | 642 | $11K |
| D0330 | Panoramic radiographic image | 3.4% | 363 | 359 | $9K |
| D0274 | Bitewings - four radiographic images | 3.1% | 499 | 488 | $8K |
| D0140 | Limited oral evaluation - problem focused | 3.0% | 413 | 392 | $8K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.3% | 70 | 30 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 59 | 59 | $2K |
5 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 437 | $2K |
| D2332 | <1% | 30 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 75 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 23 | $835.66 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 36 | $94.07 |
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 officialSALIM, FADDI (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Faddi Salim DDS PLLC | Shelby Township, MI | $3.58M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.