Dental
Pediatric Dentistry of East Lansing
Pediatric Dentistry of East Lansing was paid $219K by Medicaid between Jan 2021 and Dec 2024, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 41% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY OF EAST LANSING
EAST LANSING, MI 48823
EAST LANSING, MI 48823
33aNPI1225632284assigned 11/30/2020
33bProvider typePediatric Dentist
28Total paid$219K
24GClaims7,421
24DCodes billed15
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#97 of 153
Median peer was paid$464K
This provider vs. median0.5×
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 | 1,335 | $47K | |
| 2022 | 1,881 | $65K | |
| 2023 | 1,724 | $43K | |
| 2024incomplete | 2,481 | $63K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 41% | 951 | 424 | $90K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 1,461 | 1,460 | $34K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,210 | 1,209 | $23K |
| D1206 | Topical application of fluoride varnish | 10% | 1,420 | 1,420 | $22K |
| D0272 | Bitewings - two radiographic images | 4.8% | 604 | 604 | $11K |
| D0140 | Limited oral evaluation - problem focused | 4.5% | 182 | 182 | $10K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.1% | 34 | 12 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 407 | 404 | $5K |
| D9310 | 2.4% | 87 | 87 | $5K | |
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 411 | 151 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 43 | 26 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 18 | 12 | $2K |
3 more codes
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 officialMYERS, JACOB (DENTIST)