Dental
Adiram Family Dentistry
Adiram Family Dentistry was paid $137K by Medicaid between Jul 2018 and Dec 2024, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 28% of everything it billed.
33Billing provider infoADIRAM FAMILY DENTISTRY
MOUNT CLEMENS, MI 48043
MOUNT CLEMENS, MI 48043
33aNPI1295113165assigned 05/12/2015
33bProvider typeDentist
28Total paid$137K
24GClaims3,602
24DCodes billed16
24AFirst – last monthJul 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#234 of 1,033
Median peer was paid$15K
This provider vs. median9.1×
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 | 55 | $2K | |
| 2019 | 260 | $9K | |
| 2020 | 164 | $3K | |
| 2021 | 431 | $11K | |
| 2022 | 329 | $8K | |
| 2023 | 742 | $18K | |
| 2024incomplete | 1,621 | $86K |
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 | 28% | 320 | 172 | $38K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 805 | 804 | $20K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 532 | 532 | $19K |
| D1206 | Topical application of fluoride varnish | 11% | 677 | 676 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.6% | 286 | 286 | $13K |
| D1110 | Prophylaxis - adult | 5.7% | 149 | 149 | $8K |
| D0210 | Intraoral - complete series of radiographic images | 4.7% | 84 | 84 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 4.6% | 408 | 401 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.7% | 23 | 15 | $4K |
| D2950 | 1.5% | 14 | 12 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 160 | 154 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 43 | 43 | $1K |
4 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 officialNALLAPANENI, RAMAKRISHNA (OWNER)