Clinic
Elite Family Dentistry PLLC
Elite Family Dentistry PLLC was paid $83K by Medicaid between Aug 2020 and Oct 2024, across 11 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 59% of everything it billed.
33Billing provider infoELITE FAMILY DENTISTRY PLLC
DUNDEE, MI 48131
DUNDEE, MI 48131
33aNPI1245877554assigned 12/05/2019
33bProvider typeDental Clinic/Center
28Total paid$83K
24GClaims806
24DCodes billed11
24AFirst – last monthAug 2020 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#147 of 431
Median peer was paid$24K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2020 | 26 | $1K | |
| 2021 | 82 | $3K | |
| 2022 | 199 | $8K | |
| 2023 | 444 | $69K | |
| 2024incomplete | 55 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 59% | 64 | 24 | $48K |
| D2950 | 9.2% | 40 | 12 | $8K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.1% | 165 | 165 | $7K |
| D1110 | Prophylaxis - adult | 7.2% | 117 | 117 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 7.1% | 106 | 105 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 157 | 155 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.0% | 64 | 64 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.8% | 16 | 12 | $1K |
| D0330 | Panoramic radiographic image | 1.5% | 27 | 27 | $1K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 26 | 26 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 24 | 24 | $241.89 |
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 officialAMADOR, RAQUEL (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Maple Family Dentistry PLLC | Adrian, MI | $1.01M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.