Dental
Bubble Gum Kids Dentistry Clinton TWP
Bubble Gum Kids Dentistry Clinton TWP was paid $164K by Medicaid between Jan 2024 and Dec 2024, across 12 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 25% of everything it billed.
33Billing provider infoBUBBLE GUM KIDS DENTISTRY CLINTON TWP
CLINTON TOWNSHIP, MI 48038
CLINTON TOWNSHIP, MI 48038
33aNPI1558149195assigned 09/15/2023
33bProvider typePediatric Dentist
28Total paid$164K
24GClaims3,175
24DCodes billed12
24AFirst – last monthJan 2024 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#104 of 153
Median peer was paid$464K
This provider vs. median0.4×
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 | 3,175 | $164K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 25% | 205 | 91 | $42K |
| D7140 | Extraction, erupted tooth or exposed root | 15% | 231 | 131 | $25K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 523 | 523 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 371 | 371 | $23K |
| D1206 | Topical application of fluoride varnish | 8.7% | 473 | 473 | $14K |
| D0140 | Limited oral evaluation - problem focused | 5.2% | 128 | 126 | $9K |
| D0240 | 4.0% | 277 | 149 | $7K | |
| D0272 | Bitewings - two radiographic images | 3.8% | 248 | 248 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 274 | 273 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.4% | 313 | 237 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.9% | 75 | 75 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | 1.4% | 57 | 57 | $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 officialPAUNDLAY, AMY (SR. VP OF POSITION)
| Provider | Location | Paid |
|---|---|---|
| First Impressions Orthodontics | Fairfield, CT | $492K |
| Bubble Gum Kids Dentistry | Southgate, MI | $248K |
| Bubble Gum Kids Dentistry | Warren, MI | $30K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.