Dental
Broadway Dental Center
Broadway Dental Center was paid $220K by Medicaid between Aug 2022 and Dec 2024, across 12 billing codes. Its largest line is D1351, Sealant - per tooth — 29% of everything it billed.
33Billing provider infoBROADWAY DENTAL CENTER
CASSOPOLIS, MI 49031
CASSOPOLIS, MI 49031
33aNPI1205372265assigned 01/16/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$220K
24GClaims6,503
24DCodes billed12
24AFirst – last monthAug 2022 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#234 of 1,554
Median peer was paid$15K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2022 | 575 | $20K | |
| 2023 | 3,452 | $119K | |
| 2024incomplete | 2,476 | $81K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 29% | 2,362 | 438 | $65K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 749 | 749 | $29K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,055 | 1,055 | $28K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.4% | 172 | 117 | $21K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.1% | 220 | 149 | $20K |
| D1110 | Prophylaxis - adult | 9.0% | 388 | 388 | $20K |
| D1208 | Topical application of fluoride, excluding varnish | 6.1% | 613 | 613 | $14K |
| D1206 | Topical application of fluoride varnish | 5.3% | 429 | 429 | $12K |
| D0274 | Bitewings - four radiographic images | 3.3% | 220 | 220 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 222 | 217 | $4K |
| D0272 | Bitewings - two radiographic images | <1% | 44 | 44 | $964.52 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 29 | 27 | $315.00 |
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 officialMCINTYRE, HEATHER (FINANCIAL COORDINATOR)