Dental
Great Lakes Bay Pediatric Dentistry, PLC
Great Lakes Bay Pediatric Dentistry, PLC was paid $2.79M by Medicaid between Nov 2018 and Dec 2024, across 22 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 24% of everything it billed.
33Billing provider infoGREAT LAKES BAY PEDIATRIC DENTISTRY, PLC
SAGINAW, MI 48638
SAGINAW, MI 48638
33aNPI1407322548assigned 10/16/2018
33bProvider typePediatric Dentist
28Total paid$2.79M
24GClaims60,638
24DCodes billed22
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#27 of 153
Median peer was paid$464K
This provider vs. median6.0×
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 | 1,143 | $62K | |
| 2019 | 7,202 | $382K | |
| 2020 | 5,713 | $255K | |
| 2021 | 9,803 | $455K | |
| 2022 | 12,227 | $525K | |
| 2023 | 13,449 | $611K | |
| 2024incomplete | 11,101 | $502K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 24% | 3,479 | 2,090 | $664K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 11% | 3,357 | 2,146 | $298K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 9.5% | 2,115 | 1,406 | $267K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.8% | 6,011 | 6,011 | $246K |
| D7140 | Extraction, erupted tooth or exposed root | 8.6% | 2,779 | 1,440 | $240K |
| D1208 | Topical application of fluoride, excluding varnish | 6.1% | 6,358 | 6,358 | $170K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.0% | 5,107 | 5,105 | $167K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.8% | 10,253 | 3,575 | $135K |
| D0140 | Limited oral evaluation - problem focused | 4.6% | 2,087 | 2,061 | $127K |
| D2140 | 3.9% | 1,548 | 1,184 | $110K | |
| D1351 | Sealant - per tooth | 3.8% | 3,421 | 1,498 | $107K |
| D0272 | Bitewings - two radiographic images | 3.0% | 3,376 | 3,376 | $85K |
10 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.9% | 4,482 | $81K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 637 | $38K |
| D9920 | <1% | 339 | $17K | |
| D1110 | Prophylaxis - adult | <1% | 186 | $10K |
| D1510 | <1% | 41 | $8K | |
| D2331 | <1% | 65 | $7K | |
| D0191 | <1% | 306 | $6K | |
| D2160 | <1% | 44 | $5K | |
| D2332 | <1% | 31 | $4K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 4,616 | $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 officialYAHN, WHITNEY (OWNER PEDIATRIC DENTIST)