Dental
Pediatric Dental Specialists of West Michigan
Pediatric Dental Specialists of West Michigan was paid $11.01M by Medicaid between Mar 2019 and Dec 2024, across 34 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 32% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL SPECIALISTS OF WEST MICHIGAN
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
33aNPI1184194433assigned 11/29/2018
33bProvider typePediatric Dentist
28Total paid$11.01M
24GClaims164,645
24DCodes billed34
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#4 of 153
Median peer was paid$464K
This provider vs. median24×
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 | |
|---|---|---|---|
| 2019 | 7,241 | $694K | |
| 2020 | 18,890 | $1.53M | |
| 2021 | 39,983 | $2.91M | |
| 2022 | 37,031 | $2.43M | |
| 2023 | 34,241 | $1.98M | |
| 2024incomplete | 27,259 | $1.46M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 32% | 17,875 | 5,098 | $3.47M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 9,399 | 4,081 | $1.14M |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 9.7% | 8,390 | 3,448 | $1.06M |
| D7140 | Extraction, erupted tooth or exposed root | 7.2% | 9,287 | 4,030 | $790K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.6% | 15,324 | 15,302 | $615K |
| D2390 | 3.8% | 2,123 | 825 | $423K | |
| D1206 | Topical application of fluoride varnish | 3.7% | 15,120 | 15,101 | $409K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.3% | 11,096 | 11,093 | $358K |
| D1354 | 2.7% | 10,933 | 2,681 | $300K | |
| D0230 | Intraoral - periapical each additional radiographic image | 2.7% | 23,619 | 7,567 | $293K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.4% | 1,869 | 1,118 | $265K |
| D9920 | 2.3% | 5,625 | 5,146 | $249K |
22 more codes
| D9310 | 1.7% | 2,712 | $188K | |
| D2332 | 1.7% | 1,439 | $182K | |
| D1510 | 1.6% | 924 | $181K | |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 9,863 | $172K |
| D2330 | 1.4% | 1,782 | $149K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.1% | 1,363 | $122K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,985 | $109K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,651 | $97K |
| D1351 | Sealant - per tooth | <1% | 3,051 | $92K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,571 | $62K |
| D0272 | Bitewings - two radiographic images | <1% | 2,607 | $62K |
| D0330 | Panoramic radiographic image | <1% | 631 | $43K |
| D9248 | <1% | 728 | $38K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 740 | $37K |
| D0240 | <1% | 1,865 | $35K | |
| D9420 | <1% | 327 | $35K | |
| D2934 | <1% | 109 | $24K | |
| D2920 | <1% | 94 | $4K | |
| D0274 | Bitewings - four radiographic images | <1% | 55 | $2K |
| D7960 | 0% | 70 | $0.00 | |
| D7962 | 0% | 304 | $0.00 | |
| D7961 | 0% | 114 | $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 officialSWANSON, KATHRYN (PEDIATRIC DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Central Mass Dermatology PC | Southbridge, MA | $201K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.