Dental
Supreme Dental Care, PLC
Supreme Dental Care, PLC was paid $577K by Medicaid between Apr 2018 and Dec 2024, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 23% of everything it billed.
33Billing provider infoSUPREME DENTAL CARE, PLC
DEARBORN HEIGHTS, MI 48127
DEARBORN HEIGHTS, MI 48127
33aNPI1144641572assigned 01/03/2014
33bProvider typeDentist
28Total paid$577K
24GClaims14,348
24DCodes billed15
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#106 of 1,033
Median peer was paid$15K
This provider vs. median38×
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 | |
|---|---|---|---|
| 2018 | 1,835 | $100K | |
| 2019 | 2,148 | $108K | |
| 2020 | 1,123 | $35K | |
| 2021 | 1,285 | $39K | |
| 2022 | 2,111 | $76K | |
| 2023 | 2,568 | $107K | |
| 2024incomplete | 3,278 | $113K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 23% | 1,042 | 578 | $132K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 2,283 | 2,283 | $93K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 3,305 | 3,305 | $92K |
| D1110 | Prophylaxis - adult | 13% | 1,461 | 1,461 | $77K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 2,858 | 2,858 | $70K |
| D0274 | Bitewings - four radiographic images | 6.0% | 1,123 | 1,123 | $35K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.3% | 262 | 176 | $25K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 654 | 637 | $11K |
| D0140 | Limited oral evaluation - problem focused | 1.8% | 248 | 238 | $10K |
| D0330 | Panoramic radiographic image | 1.4% | 128 | 128 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.1% | 150 | 150 | $7K |
| D0272 | Bitewings - two radiographic images | 1.1% | 267 | 267 | $7K |
3 more codes
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 officialAOUN, AMAL (OWNER)