Dental
Hartland Pediatric Dentistry
Hartland Pediatric Dentistry was paid $9K by Medicaid between Jul 2024 and Dec 2024, across 6 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 33% of everything it billed.
33Billing provider infoHARTLAND PEDIATRIC DENTISTRY
HARTLAND, MI 48353
HARTLAND, MI 48353
33aNPI1558139352assigned 12/12/2023
33bProvider typePediatric Dentist
28Total paid$9K
24GClaims275
24DCodes billed6
24AFirst – last monthJul 2024 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#137 of 153
Median peer was paid$464K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 275 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 33% | 57 | 56 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 55 | 55 | $2K |
| D1206 | Topical application of fluoride varnish | 22% | 65 | 65 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 10% | 48 | 48 | $879.01 |
| D0230 | Intraoral - periapical each additional radiographic image | 5.7% | 35 | 15 | $496.18 |
| D0272 | Bitewings - two radiographic images | 3.8% | 15 | 15 | $327.91 |
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 officialBURKE, ASHLEY (PEDIATRIC DENTIST)