Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Toothworks PC

Toothworks PC was paid $21.06M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 21% of everything it billed.

33Billing provider infoTOOTHWORKS PC
GROSSE POINTE WOODS, MI 48236
33aNPI1306008800assigned 06/26/2008
28Total paid$21.06M
24GClaims390,026
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#1 of 1,554
Median peer was paid$15K
This provider vs. median1,450×

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$200K$400K$600K2018201920202021202220232024
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
201817,386$1.03M
201941,983$2.46M
202049,654$2.71M
202170,917$3.74M
202271,289$3.57M
202372,111$3.79M
2024incomplete66,686$3.77M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 21% 22,427 9,041 $4.48M
D1120 Dental cleaning, childProphylaxis - child 11% 53,771 53,756 $2.36M
D1206 Topical application of fluoride varnish 7.8% 56,317 56,251 $1.65M
D7140 Extraction, erupted tooth or exposed root 7.4% 16,956 9,521 $1.55M
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 7.0% 41,205 41,193 $1.48M
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 6.7% 11,093 7,337 $1.41M
D2391 Resin-based composite - one surface, posterior, primary or permanent 4.2% 9,020 6,213 $878K
D0140 Limited oral evaluation - problem focused 3.7% 12,477 12,160 $784K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 3.4% 5,571 3,403 $726K
D1351 Sealant - per tooth 2.9% 18,486 6,552 $604K
D0150 Comprehensive oral evaluation - new or established patient 2.5% 8,458 8,442 $527K
D0240 2.3% 23,073 12,272 $493K
25 more codes
D0272 Bitewings - two radiographic images 2.3% 18,780 $487K
D1510 2.2% 2,364 $463K
D2390 2.2% 2,254 $456K
D0230 Intraoral - periapical each additional radiographic image 2.0% 31,229 $427K
D0220 Intraoral - periapical first radiographic image 2.0% 21,763 $419K
D0330 Panoramic radiographic image 1.6% 4,462 $327K
D0145 Oral evaluation for a patient under three years of age 1.4% 6,845 $289K
D9420 1.3% 1,416 $283K
D2330 1.1% 2,685 $228K
D9920 <1% 2,865 $154K
D1354 <1% 5,153 $145K
D1110 Prophylaxis - adult <1% 2,564 $143K
D0274 Bitewings - four radiographic images <1% 2,451 $101K
D0210 Intraoral - complete series of radiographic images <1% 3,033 $66K
D1517 <1% 179 $58K
D1516 <1% 87 $28K
D2331 <1% 237 $25K
D1515 <1% 21 $7K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 29 $4K
D1556 <1% 27 $662.04
D1208 Topical application of fluoride, excluding varnish <1% 13 $273.03
D9986 0% 156 $0.00
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 0% 2,516 $0.00
D9987 0% 26 $0.00
D3120 0% 17 $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 officialHARVEY, DAWN (PRESIDENT OWNER)