Clinic
Pearl Dental Clinic
Pearl Dental Clinic was paid $71K by Medicaid between Feb 2018 and Nov 2018, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoPEARL DENTAL CLINIC
HAMTRAMCK, MI 48212
HAMTRAMCK, MI 48212
33aNPI1396800058assigned 12/23/2006
33bProvider typeDental Clinic/Center
28Total paid$71K
24GClaims1,673
24DCodes billed12
24AFirst – last monthFeb 2018 – Nov 2018
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#156 of 431
Median peer was paid$24K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2018 | 1,673 | $71K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 282 | 282 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 138 | 138 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 303 | 303 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 242 | 242 | $8K |
| D7111 | 9.6% | 99 | 60 | $7K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.1% | 49 | 24 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.7% | 61 | 35 | $5K |
| D0272 | Bitewings - two radiographic images | 7.6% | 207 | 207 | $5K |
| D1110 | Prophylaxis - adult | 5.6% | 75 | 75 | $4K |
| D1351 | Sealant - per tooth | 4.9% | 111 | 29 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 88 | 87 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 18 | 13 | $252.00 |
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 officialALI, ISHAQ (PRESIDENT)