Dental
Rivertown Dental Excellence
Rivertown Dental Excellence was paid $361K by Medicaid between Jul 2020 and Dec 2024, across 16 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 36% of everything it billed.
33Billing provider infoRIVERTOWN DENTAL EXCELLENCE
GRANDVILLE, MI 49418
GRANDVILLE, MI 49418
33aNPI1558633909assigned 02/01/2012
33bProvider typeDentist
28Total paid$361K
24GClaims6,471
24DCodes billed16
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#134 of 1,033
Median peer was paid$15K
This provider vs. median24×
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 | |
|---|---|---|---|
| 2020 | 98 | $3K | |
| 2021 | 681 | $29K | |
| 2022 | 727 | $22K | |
| 2023 | 2,389 | $148K | |
| 2024incomplete | 2,576 | $159K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 36% | 205 | 130 | $130K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 520 | 258 | $61K |
| D1110 | Prophylaxis - adult | 12% | 895 | 895 | $43K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.8% | 1,021 | 1,021 | $25K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.4% | 483 | 482 | $19K |
| D2950 | 5.0% | 104 | 73 | $18K | |
| D0330 | Panoramic radiographic image | 4.9% | 382 | 381 | $18K |
| D0274 | Bitewings - four radiographic images | 3.0% | 644 | 643 | $11K |
| D1206 | Topical application of fluoride varnish | 2.3% | 395 | 395 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.3% | 232 | 232 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 792 | 779 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 716 | 682 | $4K |
4 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 18 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 22 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 30 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | $576.00 |
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 officialVAN ITTERSUM, JARED (OWNER)