Dental
Canton Pediatric Dentistry, PLLC
Canton Pediatric Dentistry, PLLC was paid $469K by Medicaid between Jul 2020 and Dec 2024, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 34% of everything it billed.
33Billing provider infoCANTON PEDIATRIC DENTISTRY, PLLC
CANTON, MI 48187
CANTON, MI 48187
33aNPI1184076697assigned 07/08/2016
33bProvider typePediatric Dentist
28Total paid$469K
24GClaims14,534
24DCodes billed13
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#76 of 153
Median peer was paid$464K
This provider vs. median1.0×
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 | 1,645 | $53K | |
| 2021 | 3,335 | $104K | |
| 2022 | 3,143 | $101K | |
| 2023 | 3,090 | $99K | |
| 2024incomplete | 3,321 | $112K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 34% | 3,914 | 3,912 | $158K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 3,858 | 3,855 | $124K |
| D1206 | Topical application of fluoride varnish | 22% | 3,832 | 3,829 | $104K |
| D0272 | Bitewings - two radiographic images | 8.3% | 1,639 | 1,637 | $39K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.4% | 170 | 119 | $21K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.6% | 36 | 14 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 321 | 319 | $6K |
| D1351 | Sealant - per tooth | <1% | 137 | 51 | $4K |
| D1110 | Prophylaxis - adult | <1% | 37 | 37 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 18 | 13 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 25 | 25 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 28 | 24 | $382.51 |
1 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 519 | $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 officialMALCHEFF, NESA (BUSINESS COORDINATOR)