Dental
Great Smile Dental Group PC
Great Smile Dental Group PC was paid $1.33M by Medicaid between Jan 2019 and Dec 2024, across 25 billing codes. Its largest line is D2150, Silver amalgam - two surfaces, primary or permanent — 13% of everything it billed.
33Billing provider infoGREAT SMILE DENTAL GROUP PC
HAMTRAMCK, MI 48212
HAMTRAMCK, MI 48212
33aNPI1598253015assigned 04/30/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$1.33M
24GClaims37,535
24DCodes billed25
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#59 of 1,554
Median peer was paid$15K
This provider vs. median91×
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 | |
|---|---|---|---|
| 2019 | 8,425 | $314K | |
| 2020 | 6,629 | $196K | |
| 2021 | 7,784 | $192K | |
| 2022 | 4,567 | $142K | |
| 2023 | 4,889 | $244K | |
| 2024incomplete | 5,241 | $237K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2150 | Silver amalgam - two surfaces, primary or permanent | 13% | 2,524 | 1,814 | $174K |
| D7140 | Extraction, erupted tooth or exposed root | 12% | 2,287 | 1,442 | $158K |
| D1110 | Prophylaxis - adult | 11% | 3,718 | 3,704 | $150K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.2% | 4,564 | 4,541 | $109K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.3% | 2,093 | 2,088 | $84K |
| D0210 | Intraoral - complete series of radiographic images | 5.5% | 1,278 | 1,271 | $73K |
| D0140 | Limited oral evaluation - problem focused | 5.2% | 2,351 | 2,292 | $69K |
| D0274 | Bitewings - four radiographic images | 5.0% | 2,344 | 2,335 | $67K |
| D2751 | Crown - porcelain fused to predominantly base metal | 4.9% | 140 | 103 | $65K |
| D2160 | 4.5% | 813 | 649 | $60K | |
| D2140 | 4.5% | 1,242 | 941 | $59K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 1,688 | 1,681 | $58K |
13 more codes
| D1208 | Topical application of fluoride, excluding varnish | 4.0% | 2,211 | $53K |
| D0220 | Intraoral - periapical first radiographic image | 3.8% | 4,281 | $51K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.1% | 329 | $27K |
| D2740 | Crown - porcelain/ceramic | 1.3% | 33 | $18K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.2% | 163 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 2,095 | $14K |
| D1354 | <1% | 377 | $8K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 52 | $7K |
| D2950 | <1% | 17 | $3K | |
| D0272 | Bitewings - two radiographic images | <1% | 49 | $1K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 12 | $922.15 |
| D1999 | 0% | 2,861 | $0.00 | |
| D9995 | 0% | 13 | $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 officialHARES, ROUZANA (CO-OWNER)
| Provider | Location | Paid |
|---|---|---|
| Hares Property Management Co | Hamtramck, MI | $257K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.