Dental
Kids Tooth Team Lake Orion PLLC
Kids Tooth Team Lake Orion PLLC was paid $223K by Medicaid between Feb 2024 and Dec 2024, across 14 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 40% of everything it billed.
33Billing provider infoKIDS TOOTH TEAM LAKE ORION PLLC
LAKE ORION, MI 48359
LAKE ORION, MI 48359
33aNPI1154105542assigned 08/24/2023
33bProvider typePediatric Dentist
28Total paid$223K
24GClaims4,811
24DCodes billed14
24AFirst – last monthFeb 2024 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#95 of 153
Median peer was paid$464K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2024incomplete | 4,811 | $223K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 40% | 443 | 132 | $88K |
| D7140 | Extraction, erupted tooth or exposed root | 12% | 296 | 118 | $27K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.4% | 385 | 384 | $16K |
| D0140 | Limited oral evaluation - problem focused | 6.9% | 256 | 251 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.8% | 1,169 | 517 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.6% | 276 | 276 | $15K |
| D1351 | Sealant - per tooth | 5.5% | 412 | 96 | $12K |
| D1206 | Topical application of fluoride varnish | 4.6% | 353 | 352 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 4.2% | 565 | 557 | $9K |
| D0272 | Bitewings - two radiographic images | 2.6% | 356 | 353 | $6K |
| D0330 | Panoramic radiographic image | 2.4% | 129 | 129 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 46 | 46 | $2K |
2 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 officialSTARK, KASEY (OWNER / PEDIATRIC DENTIST)