Clinic
Modern Dental Center
Modern Dental Center was paid $1.42M by Medicaid between Nov 2018 and Nov 2024, across 22 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 26% of everything it billed.
33Billing provider infoMODERN DENTAL CENTER
MACOMB, MI 48044
MACOMB, MI 48044
33aNPI1346632122assigned 03/03/2015
33bProvider typeDental Clinic/Center
28Total paid$1.42M
24GClaims17,583
24DCodes billed22
24AFirst – last monthNov 2018 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#34 of 431
Median peer was paid$24K
This provider vs. median59×
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 | 30 | $3K | |
| 2019 | 685 | $39K | |
| 2020 | 1,164 | $71K | |
| 2021 | 2,626 | $160K | |
| 2022 | 3,252 | $187K | |
| 2023 | 5,483 | $547K | |
| 2024incomplete | 4,343 | $412K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 26% | 525 | 342 | $367K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20% | 2,527 | 1,312 | $280K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 14% | 1,491 | 888 | $200K |
| D1110 | Prophylaxis - adult | 8.3% | 2,391 | 2,387 | $119K |
| D0210 | Intraoral - complete series of radiographic images | 4.4% | 1,045 | 1,032 | $63K |
| D0140 | Limited oral evaluation - problem focused | 4.3% | 1,601 | 1,544 | $62K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.9% | 2,057 | 2,051 | $55K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 1,302 | 1,297 | $52K |
| D4341 | 3.4% | 302 | 114 | $48K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.0% | 360 | 182 | $43K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.9% | 675 | 675 | $28K |
| D0274 | Bitewings - four radiographic images | 1.9% | 788 | 788 | $26K |
10 more codes
| D1208 | Topical application of fluoride, excluding varnish | 1.5% | 908 | $22K |
| D2950 | 1.2% | 104 | $17K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 719 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 112 | $8K |
| D4355 | <1% | 96 | $8K | |
| D1351 | Sealant - per tooth | <1% | 201 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 268 | $2K |
| D4910 | <1% | 28 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 56 | $1K |
| D1999 | 0% | 27 | $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 officialZETOUNA, MAHA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Brite Dental Care, P.C. | Canton, MI | $33K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.