Dental
Motown Children's General Anesthesia Dentistry, PLLC
Motown Children's General Anesthesia Dentistry, PLLC was paid $53K by Medicaid between Jul 2024 and Nov 2024, across 12 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 39% of everything it billed.
33Billing provider infoMOTOWN CHILDREN'S GENERAL ANESTHESIA DENTISTRY, PLLC
WESTLAND, MI 48186
WESTLAND, MI 48186
33aNPI1275314114assigned 10/06/2023
33bProvider typeDentist Anesthesiologist
28Total paid$53K
24GClaims714
24DCodes billed12
24AFirst – last monthJul 2024 – Nov 2024
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 | |
|---|---|---|---|
| 2024incomplete | 714 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 39% | 107 | 26 | $21K |
| D9420 | 23% | 41 | 41 | $12K | |
| D7140 | Extraction, erupted tooth or exposed root | 22% | 122 | 25 | $12K |
| D0240 | 4.3% | 97 | 49 | $2K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 44 | 44 | $1K |
| D1206 | Topical application of fluoride varnish | 2.4% | 48 | 48 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.1% | 44 | 44 | $1K |
| D0272 | Bitewings - two radiographic images | 1.6% | 46 | 46 | $864.74 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 85 | 29 | $473.27 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 29 | 29 | $471.78 |
| D0350 | 0% | 26 | 26 | $0.00 | |
| D1330 | 0% | 25 | 25 | $0.00 |
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 officialWHEELER, JEFF (BUSINESS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Motown Children's Surgery Center LLC | Westland, MI | $48K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.