Dental
Wayne Family Dental PLLC
Wayne Family Dental PLLC was paid $154K by Medicaid between Dec 2020 and Dec 2024, across 12 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 30% of everything it billed.
33Billing provider infoWAYNE FAMILY DENTAL PLLC
WAYNE, MI 48184
WAYNE, MI 48184
33aNPI1386248409assigned 11/30/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$154K
24GClaims4,674
24DCodes billed12
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#292 of 1,554
Median peer was paid$15K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2020 | 14 | $325.00 | |
| 2021 | 748 | $19K | |
| 2022 | 1,042 | $24K | |
| 2023 | 1,166 | $33K | |
| 2024incomplete | 1,704 | $78K |
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 | 30% | 394 | 143 | $47K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 609 | 609 | $24K |
| D1206 | Topical application of fluoride varnish | 14% | 859 | 858 | $21K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 750 | 749 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 7.3% | 700 | 676 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.6% | 106 | 54 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.8% | 959 | 634 | $9K |
| D1110 | Prophylaxis - adult | 2.4% | 68 | 68 | $4K |
| D0140 | Limited oral evaluation - problem focused | 2.2% | 74 | 72 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 57 | 57 | $3K |
| D0274 | Bitewings - four radiographic images | 1.3% | 59 | 59 | $2K |
| D1351 | Sealant - per tooth | <1% | 39 | 13 | $990.00 |
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 officialLABRANCHE, THERESA (COO)