Clinic
Clarkston Pediatric Dentistry PLC
Clarkston Pediatric Dentistry PLC was paid $1.11M by Medicaid between Apr 2018 and Dec 2024, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 24% of everything it billed.
33Billing provider infoCLARKSTON PEDIATRIC DENTISTRY PLC
CLARKSTON, MI 48346
CLARKSTON, MI 48346
33aNPI1568852382assigned 02/01/2015
33bProvider typeDental Clinic/Center
28Total paid$1.11M
24GClaims27,947
24DCodes billed19
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#40 of 431
Median peer was paid$24K
This provider vs. median46×
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 | 1,795 | $65K | |
| 2019 | 3,235 | $135K | |
| 2020 | 3,372 | $128K | |
| 2021 | 4,576 | $178K | |
| 2022 | 5,618 | $234K | |
| 2023 | 5,486 | $215K | |
| 2024incomplete | 3,865 | $153K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 24% | 2,236 | 1,326 | $271K |
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 5,859 | 5,859 | $245K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 5,255 | 5,255 | $177K |
| D1206 | Topical application of fluoride varnish | 15% | 5,836 | 5,836 | $164K |
| D0272 | Bitewings - two radiographic images | 4.9% | 2,281 | 2,279 | $55K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.2% | 258 | 132 | $47K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.9% | 472 | 380 | $43K |
| D1351 | Sealant - per tooth | 3.7% | 1,310 | 511 | $41K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 1,180 | 1,175 | $21K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 272 | 271 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 717 | 304 | $9K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 47 | 26 | $4K |
7 more codes
| D0330 | Panoramic radiographic image | <1% | 52 | $4K |
| D0240 | <1% | 192 | $3K | |
| D0274 | Bitewings - four radiographic images | <1% | 78 | $3K |
| D1110 | Prophylaxis - adult | <1% | 36 | $2K |
| D9310 | <1% | 16 | $1K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 27 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 1,823 | $0.00 |
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 officialWALSH, CHRISTOPHER (OWNER)