Aspen Dental of Michigan PC

Aspen Dental of Michigan PC was paid $707K by Medicaid between Oct 2018 and Dec 2024, across 19 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 63% of everything it billed.

33Billing provider infoASPEN DENTAL OF MICHIGAN PC
GRANDVILLE, MI 49418

33aNPI1285813832assigned 10/31/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$707K

24GClaims8,007

24DCodes billed19

24AFirst – last monthOct 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#101 of 1,554

Median peer was paid$15K

This provider vs. median49×

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
2018	81	$5K
2019	359	$23K
2020	112	$3K
2021	27	$1K
2022	148	$7K
2023	2,573	$180K
2024incomplete	4,707	$488K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	63%	2,937	655	$448K
D0210	Intraoral - complete series of radiographic images	11%	1,284	1,275	$76K
D0150	Comprehensive oral evaluation - new or established patient	8.7%	1,561	1,546	$62K
D5130		5.7%	41	41	$41K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	3.0%	177	117	$21K
D7140	Extraction, erupted tooth or exposed root	2.8%	224	54	$20K
D1110	Prophylaxis - adult	2.0%	322	320	$14K
D0140	Limited oral evaluation - problem focused	1.0%	146	146	$7K
D0330	Panoramic radiographic image	<1%	81	81	$5K
D1206	Topical application of fluoride varnish	<1%	338	334	$3K
D4346		<1%	46	46	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	20	12	$2K

7 more codes

D1120	Dental cleaning, child	<1%	49	$2K
D0220	Intraoral - periapical first radiographic image	<1%	63	$1K
D0120	Dental checkup, returning patient	<1%	38	$1K
D0272	Bitewings - two radiographic images	<1%	28	$382.00
D0274	Bitewings - four radiographic images	<1%	12	$379.59
D9630		0%	332	$0.00
D4921		0%	308	$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 officialHAMATI, ISAM (OWNER)