A Cappella Dental, PC

A Cappella Dental, PC was paid $92K by Medicaid between Feb 2022 and Nov 2024, across 8 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 47% of everything it billed.

33Billing provider infoA CAPPELLA DENTAL, PC
TRAVERSE CITY, MI 49686

33aNPI1336543990assigned 10/10/2014

33bProvider typeGeneral Practice Dentistry

28Total paid$92K

24GClaims887

24DCodes billed8

24AFirst – last monthFeb 2022 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#378 of 1,554

Median peer was paid$15K

This provider vs. median6.3×

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
2022	37	$1K
2023	240	$28K
2024incomplete	610	$63K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2740	Crown - porcelain/ceramic	47%	79	54	$44K
D1110	Prophylaxis - adult	17%	299	299	$16K
D0150	Comprehensive oral evaluation - new or established patient	7.5%	165	165	$7K
D0330	Panoramic radiographic image	6.7%	105	105	$6K
D2950		6.7%	34	27	$6K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	5.9%	41	27	$5K
D2391	Resin-based composite - one surface, posterior, primary or permanent	5.6%	58	36	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	3.2%	106	106	$3K

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 officialSALON, THOMAS (OWNER/CEO/DENTIST)