Dental
Sparkle Dental LLC
Sparkle Dental LLC was paid $1.97M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 16% of everything it billed.
33Billing provider infoSPARKLE DENTAL LLC
WARREN, MI 48088
WARREN, MI 48088
33aNPI1306111521assigned 03/21/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$1.97M
24GClaims42,692
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#42 of 1,554
Median peer was paid$15K
This provider vs. median135×
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 | 4,227 | $195K | |
| 2019 | 5,117 | $276K | |
| 2020 | 5,149 | $236K | |
| 2021 | 6,563 | $267K | |
| 2022 | 7,537 | $319K | |
| 2023 | 8,294 | $499K | |
| 2024incomplete | 5,805 | $174K |
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 | 16% | 2,711 | 950 | $319K |
| D2394 | 14% | 1,607 | 601 | $266K | |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 5,144 | 5,139 | $203K |
| D2740 | Crown - porcelain/ceramic | 8.4% | 251 | 124 | $165K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.4% | 5,454 | 5,437 | $145K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 7.2% | 1,007 | 487 | $141K |
| D1208 | Topical application of fluoride, excluding varnish | 6.1% | 5,097 | 5,092 | $119K |
| D1110 | Prophylaxis - adult | 4.9% | 1,984 | 1,977 | $97K |
| D0220 | Intraoral - periapical first radiographic image | 4.2% | 5,189 | 5,144 | $83K |
| D0274 | Bitewings - four radiographic images | 4.0% | 2,411 | 2,403 | $78K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 1,462 | 1,461 | $61K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.7% | 6,181 | 4,315 | $54K |
12 more codes
| D2335 | 2.7% | 356 | $54K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 391 | $35K |
| D0272 | Bitewings - two radiographic images | 1.7% | 1,400 | $33K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 594 | $25K |
| D7140 | Extraction, erupted tooth or exposed root | 1.0% | 260 | $21K |
| D0330 | Panoramic radiographic image | <1% | 213 | $13K |
| D1206 | Topical application of fluoride varnish | <1% | 434 | $13K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 106 | $12K |
| D3240 | <1% | 87 | $10K | |
| D2954 | <1% | 51 | $10K | |
| D1351 | Sealant - per tooth | <1% | 252 | $7K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 50 | $1K |
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 officialASSAD, MONICA (DENTIST)