Mid-Michigan Pediatric Dentistry

Mid-Michigan Pediatric Dentistry was paid $607K by Medicaid between Aug 2019 and Dec 2024, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 24% of everything it billed.

33Billing provider infoMID-MICHIGAN PEDIATRIC DENTISTRY
FLINT, MI 48532

33aNPI1437323904assigned 04/16/2008

33bProvider typePediatric Dentist

28Total paid$607K

24GClaims13,519

24DCodes billed16

24AFirst – last monthAug 2019 – Dec 2024

Compared with peers

Next to other Pediatric Dentist providers in Michigan

Rank by total paid#72 of 153

Median peer was paid$464K

This provider vs. median1.3×

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
2019	12	$311.56
2020	262	$11K
2022	2,444	$100K
2023	5,967	$272K
2024incomplete	4,834	$224K

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	24%	1,250	640	$147K
D1120	Dental cleaning, childProphylaxis - child	16%	2,365	2,365	$98K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	2,840	2,839	$92K
D1208	Topical application of fluoride, excluding varnish	11%	2,798	2,798	$70K
D2391	Resin-based composite - one surface, posterior, primary or permanent	11%	755	422	$70K
D9920		6.6%	800	772	$40K
D1110	Prophylaxis - adult	5.8%	674	674	$35K
D0272	Bitewings - two radiographic images	3.4%	856	856	$21K
D7140	Extraction, erupted tooth or exposed root	1.5%	114	57	$9K
D0240		<1%	276	170	$6K
D0220	Intraoral - periapical first radiographic image	<1%	310	308	$5K
D0274	Bitewings - four radiographic images	<1%	121	121	$5K

4 more codes

D2393	Resin-based composite - three surfaces, posterior, primary or permanent	<1%	32	$4K
D0230	Intraoral - periapical each additional radiographic image	<1%	277	$4K
D0145	Oral evaluation for a patient under three years of age	<1%	25	$1K
D1206	Topical application of fluoride varnish	<1%	26	$672.00

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 officialSUSHYNSKI, JOHN (MEMBER)