Dental
Childrens Dental Care of Detroit
Childrens Dental Care of Detroit was paid $322K by Medicaid between Aug 2019 and Apr 2024, across 14 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 25% of everything it billed.
33Billing provider infoCHILDRENS DENTAL CARE OF DETROIT
DETROIT, MI 48201
DETROIT, MI 48201
33aNPI1104482439assigned 05/13/2019
33bProvider typePediatric Dentist
28Total paid$322K
24GClaims12,179
24DCodes billed14
24AFirst – last monthAug 2019 – Apr 2024
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#84 of 153
Median peer was paid$464K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2019 | 153 | $5K | |
| 2020 | 837 | $24K | |
| 2021 | 3,535 | $89K | |
| 2022 | 3,063 | $74K | |
| 2023 | 3,250 | $79K | |
| 2024incomplete | 1,341 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 25% | 5,710 | 1,412 | $80K |
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 1,715 | 1,715 | $74K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 715 | 715 | $44K |
| D1206 | Topical application of fluoride varnish | 14% | 1,479 | 1,479 | $44K |
| D0220 | Intraoral - periapical first radiographic image | 8.9% | 1,455 | 1,455 | $29K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.6% | 514 | 514 | $18K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.0% | 64 | 17 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 1.8% | 201 | 201 | $6K |
| D1351 | Sealant - per tooth | 1.1% | 106 | 29 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 31 | 16 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 67 | 67 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 28 | 14 | $3K |
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 officialOUEIS, HASSAN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Children's Dental Care PLLC | Dearborn, MI | $37.53M |
| Children's Dental Care of Canton | Canton, MI | $3.34M |
| Children Dental Specialists | Livonia, MI | $3.13M |
| Royal Oak Surgical Center, LLC | Royal Oak, MI | $428K |
| Riverview Pediatric Dental Care PC | Riverview, MI | $91K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.