Dental
Ladue, Douglas
Ladue, Douglas was paid $1.60M by Medicaid between Jan 2018 and Jul 2022, across 17 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 33% of everything it billed.
33Billing provider infoLADUE, DOUGLAS
GRAND RAPIDS, MI 49508
GRAND RAPIDS, MI 49508
33aNPI1376771618assigned 06/25/2009
33bProvider typePediatric Dentist
28Total paid$1.60M
24GClaims32,815
24DCodes billed17
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#40 of 153
Median peer was paid$464K
This provider vs. median3.4×
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 | 6,588 | $393K | |
| 2019 | 7,502 | $404K | |
| 2020 | 6,240 | $286K | |
| 2021 | 8,629 | $365K | |
| 2022 | 3,856 | $147K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 33% | 2,728 | 546 | $532K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 5,307 | 5,301 | $210K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 5,176 | 5,173 | $164K |
| D1206 | Topical application of fluoride varnish | 10% | 5,987 | 5,979 | $160K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.9% | 1,262 | 808 | $111K |
| D0272 | Bitewings - two radiographic images | 4.3% | 2,840 | 2,825 | $68K |
| D7140 | Extraction, erupted tooth or exposed root | 4.1% | 767 | 359 | $65K |
| D1354 | 2.7% | 1,598 | 577 | $43K | |
| D9420 | 2.5% | 292 | 286 | $40K | |
| D1351 | Sealant - per tooth | 2.4% | 1,345 | 613 | $38K |
| D0240 | 2.3% | 1,889 | 997 | $37K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 611 | 610 | $36K |
5 more codes
| D1110 | Prophylaxis - adult | 2.1% | 698 | $34K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.5% | 197 | $24K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,221 | $16K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 720 | $13K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 177 | $7K |
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.