Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Dock Dental Kalamazoo PLLC

Dock Dental Kalamazoo PLLC was paid $1.75M by Medicaid between Jan 2023 and Dec 2024, across 26 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 24% of everything it billed.

33Billing provider infoDOCK DENTAL KALAMAZOO PLLC
WYOMING, MI 49519
33aNPI1184330201assigned 01/24/2023
33bProvider typePediatric Dentist
28Total paid$1.75M
24GClaims29,395
24DCodes billed26
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Michigan

Rank by total paid#38 of 153
Median peer was paid$464K
This provider vs. median3.8×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
202313,759$773K
2024incomplete15,636$975K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 24% 2,015 636 $423K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 11% 1,446 905 $190K
D7140 Extraction, erupted tooth or exposed root 6.4% 1,148 546 $111K
D1120 Dental cleaning, childProphylaxis - child 5.4% 1,980 1,975 $95K
D9310 4.8% 1,077 1,076 $85K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 4.6% 632 272 $80K
D1206 Topical application of fluoride varnish 4.4% 2,322 2,307 $76K
D1351 Sealant - per tooth 4.3% 2,124 613 $75K
D0230 Intraoral - periapical each additional radiographic image 4.0% 5,137 1,698 $70K
D2940 3.6% 857 344 $63K
D1354 3.5% 1,972 492 $62K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.5% 596 410 $61K
14 more codes
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 3.4% 362 $60K
D0240 2.9% 2,402 $51K
D9420 2.3% 253 $40K
D0150 Comprehensive oral evaluation - new or established patient 2.2% 600 $39K
D0220 Intraoral - periapical first radiographic image 2.2% 1,872 $39K
D0140 Limited oral evaluation - problem focused 2.0% 494 $35K
D0120 Dental checkup, returning patient 1.9% 841 $32K
D2330 1.0% 198 $18K
D2332 <1% 124 $16K
D0330 Panoramic radiographic image <1% 133 $9K
D2390 <1% 37 $8K
D0210 Intraoral - complete series of radiographic images <1% 634 $4K
D0145 Oral evaluation for a patient under three years of age <1% 98 $4K
D0272 Bitewings - two radiographic images <1% 41 $1K

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 officialGUEVARA, CAROL (INSURANCE COORDINATOR)
Same official

Other billing entities under GUEVARA, CAROL

Full network →
ProviderLocationPaid
Cbmi2 PLLCPortage, MI$205K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.