Dental
South Huron Cosmetic & Restorative Dentistry PC
South Huron Cosmetic & Restorative Dentistry PC was paid $3K by Medicaid between Feb 2019 and Nov 2019, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 76% of everything it billed.
33Billing provider infoSOUTH HURON COSMETIC & RESTORATIVE DENTISTRY PC
YPSILANTI, MI 48197
YPSILANTI, MI 48197
33aNPI1275711376assigned 01/31/2008
33bProvider typeDenturist
28Total paid$3K
24GClaims105
24DCodes billed2
24AFirst – last monthFeb 2019 – Nov 2019
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 | |
|---|---|---|---|
| 2019 | 105 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 76% | 49 | 49 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 24% | 56 | 51 | $689.00 |
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 officialPERKINS, DENNIS (DENTIST PRESIDENT)