Dental
Grand Ledge Dental Center
Grand Ledge Dental Center was paid $445K by Medicaid between Jul 2020 and Dec 2024, across 19 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 40% of everything it billed.
33Billing provider infoGRAND LEDGE DENTAL CENTER
GRAND LEDGE, MI 48837
GRAND LEDGE, MI 48837
33aNPI1124630108assigned 08/20/2020
33bProvider typePublic Health Dentist
28Total paid$445K
24GClaims7,435
24DCodes billed19
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Public Health Dentist providers in Michigan
Rank by total paid#13 of 30
Median peer was paid$253K
This provider vs. median1.8×
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 | 127 | $4K | |
| 2021 | 149 | $6K | |
| 2022 | 712 | $15K | |
| 2023 | 2,678 | $212K | |
| 2024incomplete | 3,769 | $209K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 40% | 282 | 163 | $178K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 398 | 220 | $51K |
| D1110 | Prophylaxis - adult | 7.9% | 685 | 684 | $35K |
| D2950 | 6.4% | 162 | 91 | $28K | |
| D0220 | Intraoral - periapical first radiographic image | 4.9% | 1,334 | 1,217 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 468 | 467 | $21K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.8% | 650 | 648 | $17K |
| D0274 | Bitewings - four radiographic images | 3.7% | 533 | 532 | $16K |
| D0140 | Limited oral evaluation - problem focused | 3.2% | 307 | 301 | $14K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.0% | 336 | 336 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.7% | 1,279 | 784 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.6% | 122 | 59 | $12K |
7 more codes
| D0210 | Intraoral - complete series of radiographic images | 1.8% | 127 | $8K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.6% | 43 | $7K |
| D1206 | Topical application of fluoride varnish | 1.2% | 245 | $5K |
| D0330 | Panoramic radiographic image | <1% | 72 | $4K |
| D4346 | <1% | 13 | $792.00 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 35 | $696.00 |
| D0350 | 0% | 344 | $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 officialAKSARI, AZIZA (OWNER)