Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Kalamazoo Pediatric Dentistry

Kalamazoo Pediatric Dentistry was paid $4.52M by Medicaid between Mar 2018 and Dec 2024, across 25 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 38% of everything it billed.

33Billing provider infoKALAMAZOO PEDIATRIC DENTISTRY
KALAMAZOO, MI 49008
33aNPI1295146413assigned 05/09/2014
33bProvider typePediatric Dentist
28Total paid$4.52M
24GClaims67,766
24DCodes billed25
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Michigan

Rank by total paid#14 of 153
Median peer was paid$464K
This provider vs. median9.7×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20188,654$672K
201910,331$789K
20208,318$538K
202110,869$692K
202210,646$638K
202310,395$642K
2024incomplete8,553$547K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 38% 8,872 2,239 $1.70M
D1120 Dental cleaning, childProphylaxis - child 8.9% 10,359 10,356 $404K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 7.8% 3,108 1,939 $355K
D2391 Resin-based composite - one surface, posterior, primary or permanent 7.3% 3,663 2,375 $331K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 6.2% 8,796 8,795 $280K
D1206 Topical application of fluoride varnish 6.1% 10,397 10,397 $276K
D7140 Extraction, erupted tooth or exposed root 5.6% 3,094 1,581 $254K
D9420 4.4% 1,411 1,411 $199K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 4.3% 1,571 850 $195K
D0272 Bitewings - two radiographic images 2.6% 5,269 5,265 $116K
D1351 Sealant - per tooth 2.1% 3,402 1,490 $96K
D2934 2.1% 411 123 $95K
13 more codes
D0240 1.0% 2,704 $46K
D9310 <1% 614 $42K
D0150 Comprehensive oral evaluation - new or established patient <1% 877 $40K
D0210 Intraoral - complete series of radiographic images <1% 357 $28K
D0220 Intraoral - periapical first radiographic image <1% 1,212 $22K
D1208 Topical application of fluoride, excluding varnish <1% 590 $11K
D0230 Intraoral - periapical each additional radiographic image <1% 752 $10K
D2331 <1% 71 $8K
D0330 Panoramic radiographic image <1% 103 $6K
D0140 Limited oral evaluation - problem focused <1% 66 $4K
D1510 <1% 16 $3K
D1354 <1% 39 $990.00
D0145 Oral evaluation for a patient under three years of age <1% 12 $516.00

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 officialBASLER, RYAN (OWNER/DENTIST)