Dental
Grand Blanc Pediatric Dentistry PC
Grand Blanc Pediatric Dentistry PC was paid $6.24M by Medicaid between Mar 2019 and Dec 2024, across 31 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 26% of everything it billed.
33Billing provider infoGRAND BLANC PEDIATRIC DENTISTRY PC
GRAND BLANC, MI 48439
GRAND BLANC, MI 48439
33aNPI1083180046assigned 10/17/2018
33bProvider typePediatric Dentist
28Total paid$6.24M
24GClaims118,314
24DCodes billed31
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#9 of 153
Median peer was paid$464K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2019 | 7,042 | $446K | |
| 2020 | 16,611 | $955K | |
| 2021 | 28,085 | $1.51M | |
| 2022 | 23,765 | $1.23M | |
| 2023 | 23,921 | $1.15M | |
| 2024incomplete | 18,890 | $941K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 26% | 8,496 | 2,809 | $1.60M |
| D1120 | Dental cleaning, childProphylaxis - child | 9.4% | 14,849 | 14,839 | $586K |
| D7140 | Extraction, erupted tooth or exposed root | 8.1% | 5,962 | 2,544 | $508K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.6% | 13,216 | 13,205 | $412K |
| D1206 | Topical application of fluoride varnish | 6.5% | 15,633 | 15,622 | $409K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.2% | 3,325 | 2,111 | $385K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 5.3% | 2,659 | 1,253 | $332K |
| D9420 | 3.7% | 1,655 | 1,643 | $233K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 1,995 | 1,502 | $179K |
| D1510 | 2.8% | 910 | 606 | $175K | |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 12,199 | 4,752 | $154K |
| D2332 | 2.4% | 1,255 | 693 | $152K |
19 more codes
| D0272 | Bitewings - two radiographic images | 2.3% | 6,497 | $144K |
| D1351 | Sealant - per tooth | 2.2% | 4,574 | $139K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 7,934 | $137K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 1,638 | $91K |
| D1110 | Prophylaxis - adult | 1.3% | 1,726 | $82K |
| D9310 | 1.3% | 1,163 | $80K | |
| D1354 | 1.2% | 2,809 | $75K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.0% | 1,152 | $63K |
| D2330 | 1.0% | 800 | $63K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 644 | $51K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 548 | $49K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,272 | $48K |
| D0330 | Panoramic radiographic image | <1% | 667 | $47K |
| D0274 | Bitewings - four radiographic images | <1% | 1,056 | $36K |
| D2331 | <1% | 53 | $5K | |
| D2140 | <1% | 45 | $3K | |
| D2160 | <1% | 21 | $2K | |
| D9920 | <1% | 39 | $2K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 3,522 | $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 officialRATLIFF, KATELIN (PRESIDENT)