Dental
Childrens Dental Program PLLC
Childrens Dental Program PLLC was paid $6.21M by Medicaid between Aug 2021 and Nov 2024, across 26 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 28% of everything it billed.
33Billing provider infoCHILDRENS DENTAL PROGRAM PLLC
HAZEL PARK, MI 48030
HAZEL PARK, MI 48030
33aNPI1225602022assigned 05/17/2021
33bProvider typePediatric Dentist
28Total paid$6.21M
24GClaims110,722
24DCodes billed26
24AFirst – last monthAug 2021 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#10 of 153
Median peer was paid$464K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2021 | 6,749 | $357K | |
| 2022 | 24,962 | $1.27M | |
| 2023 | 36,923 | $2.09M | |
| 2024incomplete | 42,088 | $2.49M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 28% | 8,609 | 3,109 | $1.71M |
| D7140 | Extraction, erupted tooth or exposed root | 10% | 6,395 | 2,965 | $631K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.7% | 11,480 | 11,469 | $479K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.0% | 2,807 | 1,716 | $374K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.5% | 25,596 | 7,023 | $344K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.9% | 8,674 | 8,667 | $305K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.8% | 2,977 | 1,851 | $300K |
| D1206 | Topical application of fluoride varnish | 4.3% | 9,460 | 9,444 | $267K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.8% | 1,780 | 1,206 | $236K |
| D1351 | Sealant - per tooth | 3.7% | 7,424 | 2,205 | $229K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.0% | 3,688 | 3,676 | $188K |
| D2934 | 2.8% | 735 | 285 | $177K |
14 more codes
| D1510 | 2.7% | 876 | $167K | |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 8,438 | $161K |
| D0140 | Limited oral evaluation - problem focused | 1.9% | 1,972 | $119K |
| D2390 | 1.5% | 461 | $91K | |
| D0330 | Panoramic radiographic image | 1.2% | 1,185 | $72K |
| D2330 | 1.1% | 751 | $68K | |
| D1208 | Topical application of fluoride, excluding varnish | 1.1% | 2,792 | $67K |
| D9310 | <1% | 785 | $61K | |
| D0272 | Bitewings - two radiographic images | <1% | 1,918 | $44K |
| D1110 | Prophylaxis - adult | <1% | 681 | $38K |
| D9248 | <1% | 356 | $29K | |
| D9420 | <1% | 146 | $19K | |
| D0274 | Bitewings - four radiographic images | <1% | 476 | $18K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 260 | $11K |
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 officialNWABUEZR, IFECHIDE (OWNER)