Clinic
Tri City Kids Pediatric Dentistry, PC
Tri City Kids Pediatric Dentistry, PC was paid $1.34M by Medicaid between May 2022 and Dec 2024, across 22 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 37% of everything it billed.
33Billing provider infoTRI CITY KIDS PEDIATRIC DENTISTRY, PC
BAY CITY, MI 48708
BAY CITY, MI 48708
33aNPI1124760046assigned 04/11/2022
33bProvider typeDental Clinic/Center
28Total paid$1.34M
24GClaims25,450
24DCodes billed22
24AFirst – last monthMay 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#35 of 431
Median peer was paid$24K
This provider vs. median55×
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 | |
|---|---|---|---|
| 2022 | 5,575 | $288K | |
| 2023 | 10,025 | $516K | |
| 2024incomplete | 9,850 | $533K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 37% | 2,655 | 818 | $500K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 4,153 | 4,153 | $174K |
| D1206 | Topical application of fluoride varnish | 9.1% | 4,322 | 4,320 | $121K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.4% | 3,432 | 3,431 | $112K |
| D7140 | Extraction, erupted tooth or exposed root | 7.4% | 1,105 | 406 | $99K |
| D9420 | 5.2% | 495 | 495 | $70K | |
| D0272 | Bitewings - two radiographic images | 3.5% | 2,016 | 2,014 | $47K |
| D1351 | Sealant - per tooth | 2.9% | 1,229 | 511 | $39K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.6% | 277 | 217 | $34K |
| D0240 | 2.3% | 1,574 | 951 | $31K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 212 | 153 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 1,146 | 1,129 | $20K |
10 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 343 | $16K |
| D1354 | <1% | 468 | $13K | |
| D0330 | Panoramic radiographic image | <1% | 168 | $12K |
| D0140 | Limited oral evaluation - problem focused | <1% | 143 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 623 | $8K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 91 | $4K |
| D1510 | <1% | 16 | $3K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 20 | $3K |
| D2330 | <1% | 16 | $1K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 946 | $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 officialPICARD, ELIZABETH (OWNER/ CEO)