Dental
Southfield Kids Dentist PLC
Southfield Kids Dentist PLC was paid $2.96M by Medicaid between Jan 2020 and Dec 2024, across 22 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 25% of everything it billed.
33Billing provider infoSOUTHFIELD KIDS DENTIST PLC
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
33aNPI1093264731assigned 09/22/2016
33bProvider typePediatric Dentist
28Total paid$2.96M
24GClaims67,049
24DCodes billed22
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#23 of 153
Median peer was paid$464K
This provider vs. median6.4×
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 | |
|---|---|---|---|
| 2020 | 4,086 | $147K | |
| 2021 | 7,568 | $352K | |
| 2022 | 13,341 | $607K | |
| 2023 | 22,370 | $985K | |
| 2024incomplete | 19,684 | $865K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 25% | 3,897 | 1,575 | $745K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 8,761 | 8,745 | $353K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 2,731 | 1,433 | $347K |
| D7140 | Extraction, erupted tooth or exposed root | 7.9% | 2,803 | 1,526 | $234K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.1% | 18,411 | 4,896 | $210K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.0% | 5,838 | 5,829 | $178K |
| D1206 | Topical application of fluoride varnish | 5.1% | 5,403 | 5,395 | $150K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.3% | 2,599 | 2,596 | $128K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.8% | 892 | 543 | $113K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 1,125 | 747 | $108K |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 5,886 | 5,840 | $104K |
| D1208 | Topical application of fluoride, excluding varnish | 2.7% | 3,456 | 3,449 | $80K |
10 more codes
| D1351 | Sealant - per tooth | 2.3% | 2,330 | $67K |
| D1510 | 1.3% | 217 | $38K | |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 608 | $32K |
| D0272 | Bitewings - two radiographic images | <1% | 1,072 | $23K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 544 | $19K |
| D9310 | <1% | 222 | $13K | |
| D0330 | Panoramic radiographic image | <1% | 124 | $7K |
| D2330 | <1% | 40 | $3K | |
| D0274 | Bitewings - four radiographic images | <1% | 78 | $3K |
| D1110 | Prophylaxis - adult | <1% | 12 | $644.66 |
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 officialNWABUEZE, IFECHIDE (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Children's Dental Specialists PLLC | Troy, MI | $9.79M |
| Childrens Dental Specialists of Hazel Park PLLC | Hazel Park, MI | $1.49M |
| Childrens Dental Specialists of Waterford PLLC | Waterford, MI | $444K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.