Dental
Mitten Kids Dentistry Caledonia PLC
Mitten Kids Dentistry Caledonia PLC was paid $2.58M by Medicaid between Oct 2019 and Dec 2024, across 30 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 31% of everything it billed.
33Billing provider infoMITTEN KIDS DENTISTRY CALEDONIA PLC
CALEDONIA, MI 49316
CALEDONIA, MI 49316
33aNPI1457914038assigned 04/18/2019
33bProvider typePediatric Dentist
28Total paid$2.58M
24GClaims47,314
24DCodes billed30
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#29 of 153
Median peer was paid$464K
This provider vs. median5.6×
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 | 752 | $38K | |
| 2020 | 11,062 | $780K | |
| 2021 | 9,206 | $387K | |
| 2022 | 10,171 | $525K | |
| 2023 | 8,923 | $499K | |
| 2024incomplete | 7,200 | $352K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 31% | 4,141 | 1,111 | $812K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.8% | 5,741 | 5,739 | $228K |
| D7140 | Extraction, erupted tooth or exposed root | 8.3% | 2,555 | 1,034 | $213K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.9% | 1,508 | 835 | $178K |
| D1206 | Topical application of fluoride varnish | 6.2% | 5,847 | 5,845 | $159K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.4% | 4,248 | 4,247 | $140K |
| D2934 | 5.3% | 627 | 194 | $136K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.1% | 1,202 | 722 | $106K |
| D9310 | 3.6% | 1,248 | 1,247 | $93K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.6% | 748 | 259 | $92K |
| D0140 | Limited oral evaluation - problem focused | 3.1% | 1,330 | 1,322 | $81K |
| D1351 | Sealant - per tooth | 2.6% | 2,141 | 734 | $67K |
18 more codes
| D0272 | Bitewings - two radiographic images | 2.3% | 2,490 | $59K |
| D0240 | 1.9% | 2,647 | $49K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 3,528 | $47K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 625 | $38K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 1,892 | $36K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 274 | $10K |
| D9248 | <1% | 221 | $9K | |
| D0330 | Panoramic radiographic image | <1% | 119 | $8K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 191 | $8K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 60 | $5K |
| D1510 | <1% | 25 | $4K | |
| D0191 | <1% | 162 | $3K | |
| D9222 | <1% | 16 | $2K | |
| D0603 | 0% | 3,026 | $0.00 | |
| D0602 | 0% | 436 | $0.00 | |
| D3120 | 0% | 70 | $0.00 | |
| D7960 | 0% | 17 | $0.00 | |
| D9996 | 0% | 179 | $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 officialRANDALL, GRADY (OWNER)