Dental
Donald J. Sabourin, D.D.S., PLLC
Donald J. Sabourin, D.D.S., PLLC was paid $595K by Medicaid between Apr 2018 and Dec 2024, across 16 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 17% of everything it billed.
33Billing provider infoDONALD J. SABOURIN, D.D.S., PLLC
SAGINAW, MI 48603
SAGINAW, MI 48603
33aNPI1548551617assigned 04/25/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$595K
24GClaims14,520
24DCodes billed16
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#114 of 1,554
Median peer was paid$15K
This provider vs. median41×
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 | 1,115 | $36K | |
| 2019 | 1,299 | $42K | |
| 2020 | 1,052 | $31K | |
| 2021 | 1,390 | $40K | |
| 2022 | 1,895 | $66K | |
| 2023 | 3,356 | $145K | |
| 2024incomplete | 4,413 | $234K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 17% | 145 | 94 | $99K |
| D1110 | Prophylaxis - adult | 16% | 2,005 | 2,004 | $98K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 2,320 | 2,320 | $89K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 3,405 | 3,404 | $88K |
| D1206 | Topical application of fluoride varnish | 13% | 3,206 | 3,206 | $77K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 713 | 713 | $31K |
| D0330 | Panoramic radiographic image | 4.7% | 495 | 494 | $28K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.9% | 197 | 128 | $23K |
| D0274 | Bitewings - four radiographic images | 2.7% | 765 | 764 | $16K |
| D0272 | Bitewings - two radiographic images | 2.4% | 722 | 722 | $14K |
| D0140 | Limited oral evaluation - problem focused | 1.9% | 249 | 243 | $11K |
| D2954 | 1.1% | 29 | 28 | $7K |
4 more codes
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 officialSABOURIN, DONALD (DENTIST/OWNER)