Dental
Grand River Family Dentistry P.C.
Grand River Family Dentistry P.C. was paid $1.06M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 29% of everything it billed.
33Billing provider infoGRAND RIVER FAMILY DENTISTRY P.C.
DETROIT, MI 48219
DETROIT, MI 48219
33aNPI1467401141assigned 05/09/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$1.06M
24GClaims25,117
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#72 of 1,554
Median peer was paid$15K
This provider vs. median73×
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 | 2,259 | $73K | |
| 2019 | 1,545 | $55K | |
| 2020 | 2,754 | $120K | |
| 2021 | 5,060 | $209K | |
| 2022 | 4,866 | $182K | |
| 2023 | 4,498 | $227K | |
| 2024incomplete | 4,135 | $192K |
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 | 29% | 2,609 | 1,361 | $310K |
| D2740 | Crown - porcelain/ceramic | 9.9% | 161 | 113 | $105K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.4% | 2,571 | 2,569 | $99K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.1% | 2,468 | 2,466 | $65K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.8% | 6,959 | 2,445 | $62K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.6% | 416 | 264 | $59K |
| D1206 | Topical application of fluoride varnish | 5.6% | 2,440 | 2,440 | $59K |
| D1110 | Prophylaxis - adult | 4.6% | 980 | 978 | $48K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.3% | 1,063 | 1,061 | $46K |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 2,601 | 2,566 | $42K |
| D0210 | Intraoral - complete series of radiographic images | 3.7% | 571 | 567 | $39K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.6% | 431 | 269 | $38K |
7 more codes
| D2950 | 2.9% | 159 | $31K | |
| D1208 | Topical application of fluoride, excluding varnish | 1.6% | 763 | $17K |
| D0140 | Limited oral evaluation - problem focused | 1.4% | 323 | $15K |
| D0274 | Bitewings - four radiographic images | 1.4% | 458 | $15K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 87 | $8K |
| D1351 | Sealant - per tooth | <1% | 45 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 12 | $325.44 |
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 officialAZZOUZ, ABRAHAM (PRESIDENT DENTIST)