Waterford Dentist PLLC

Waterford Dentist PLLC was paid $4K by Medicaid between Aug 2018 and Jun 2022, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 39% of everything it billed.

33Billing provider infoWATERFORD DENTIST PLLC
WATERFORD, MI 48329

33aNPI1538251939assigned 09/29/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$4K

24GClaims200

24DCodes billed5

24AFirst – last monthAug 2018 – Jun 2022

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#1,015 of 1,554

Median peer was paid$15K

This provider vs. median0.3×

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
2018	76	$1K
2019	26	$689.00
2020	12	$317.46
2021	73	$1K
2022	13	$319.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	39%	66	66	$2K
D1120	Dental cleaning, childProphylaxis - child	23%	27	27	$964.83
D1208	Topical application of fluoride, excluding varnish	16%	27	27	$675.00
D0230	Intraoral - periapical each additional radiographic image	12%	56	24	$495.00
D0220	Intraoral - periapical first radiographic image	9.2%	24	24	$383.00

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 officialHEUERMAN, KURT (MEMBER)

Parent organizationHEUERMAN SHUMAKER PLLC