Dental
Canton Family Dental PLLC
Canton Family Dental PLLC was paid $27K by Medicaid between Sep 2023 and Dec 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.
33Billing provider infoCANTON FAMILY DENTAL PLLC
CANTON, MI 48187
CANTON, MI 48187
33aNPI1346931243assigned 05/19/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$27K
24GClaims860
24DCodes billed10
24AFirst – last monthSep 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#626 of 1,554
Median peer was paid$15K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2023 | 50 | $2K | |
| 2024incomplete | 810 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 25% | 126 | 126 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 182 | 182 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 65 | 65 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 9.5% | 147 | 139 | $3K |
| D1206 | Topical application of fluoride varnish | 8.0% | 78 | 78 | $2K |
| D0274 | Bitewings - four radiographic images | 7.7% | 58 | 58 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.7% | 44 | 44 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 4.5% | 19 | 17 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.4% | 117 | 85 | $1K |
| D0140 | Limited oral evaluation - problem focused | 4.2% | 24 | 24 | $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 officialFRAGNOLI, DANIEL (OWNER DENTIST)