Clinic
Heritage Family Dentistry PLLC
Heritage Family Dentistry PLLC was paid $50K by Medicaid between Aug 2023 and Dec 2024, across 10 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 22% of everything it billed.
33Billing provider infoHERITAGE FAMILY DENTISTRY PLLC
CANTON, MI 48188
CANTON, MI 48188
33aNPI1154048882assigned 10/24/2022
33bProvider typeDental Clinic/Center
28Total paid$50K
24GClaims1,643
24DCodes billed10
24AFirst – last monthAug 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#169 of 431
Median peer was paid$24K
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2023 | 147 | $4K | |
| 2024incomplete | 1,496 | $46K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 22% | 285 | 285 | $11K |
| D1110 | Prophylaxis - adult | 16% | 171 | 171 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 61 | 30 | $7K |
| D0274 | Bitewings - four radiographic images | 13% | 237 | 237 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 12% | 419 | 407 | $6K |
| D0140 | Limited oral evaluation - problem focused | 8.7% | 109 | 108 | $4K |
| D0330 | Panoramic radiographic image | 6.6% | 81 | 81 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.4% | 249 | 245 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.0% | 17 | 12 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 14 | 14 | $374.78 |
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 officialABUSABHA, AMER (OWNER)