Dental
Pediatric Dentistry
Pediatric Dentistry was paid $712K by Medicaid between Aug 2022 and Dec 2024, across 19 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 13% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY
CANTON, MI 48187
CANTON, MI 48187
33aNPI1518527191assigned 06/17/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$712K
24GClaims20,525
24DCodes billed19
24AFirst – last monthAug 2022 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#100 of 1,554
Median peer was paid$15K
This provider vs. median49×
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 | |
|---|---|---|---|
| 2022 | 3,802 | $130K | |
| 2023 | 10,024 | $351K | |
| 2024incomplete | 6,699 | $231K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 13% | 6,591 | 2,487 | $90K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 1,937 | 1,937 | $85K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 2,312 | 2,312 | $81K |
| D7140 | Extraction, erupted tooth or exposed root | 11% | 876 | 527 | $80K |
| D1208 | Topical application of fluoride, excluding varnish | 9.4% | 2,437 | 2,437 | $67K |
| D0220 | Intraoral - periapical first radiographic image | 7.0% | 2,723 | 2,682 | $50K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.4% | 297 | 196 | $38K |
| D0140 | Limited oral evaluation - problem focused | 4.6% | 541 | 522 | $33K |
| D1351 | Sealant - per tooth | 4.5% | 982 | 220 | $32K |
| D1110 | Prophylaxis - adult | 4.5% | 556 | 556 | $32K |
| D2332 | 4.2% | 225 | 131 | $30K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.4% | 118 | 96 | $24K |
7 more codes
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.2% | 116 | $15K |
| D1510 | 2.0% | 70 | $14K | |
| D0272 | Bitewings - two radiographic images | 1.8% | 481 | $13K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.7% | 74 | $12K |
| D0330 | Panoramic radiographic image | 1.4% | 124 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 38 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 27 | $2K |
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 officialKHAN, FARAH (PEDIATRIC DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Millennium Park Medical Associates Denver Corp | Greenwood Village, CO | $382K |
| Houston Arrhythmia Associates PA | Houston, TX | $31K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.