Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Dearborn Family Smiles PLLC

Dearborn Family Smiles PLLC was paid $101K by Medicaid between Mar 2023 and Dec 2024, across 15 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 21% of everything it billed.

33Billing provider infoDEARBORN FAMILY SMILES PLLC
DEARBORN, MI 48126
33aNPI1629655469assigned 03/26/2021
33bProvider typeDentist
28Total paid$101K
24GClaims2,447
24DCodes billed15
24AFirst – last monthMar 2023 – Dec 2024
Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#265 of 1,033
Median peer was paid$15K
This provider vs. median6.7×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2023668$19K
2024incomplete1,779$82K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2740 Crown - porcelain/ceramic 21% 31 13 $22K
D1110 Prophylaxis - adult 14% 278 278 $14K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 13% 106 57 $13K
D0150 Comprehensive oral evaluation - new or established patient 9.1% 223 223 $9K
D0220 Intraoral - periapical first radiographic image 8.0% 510 484 $8K
D0210 Intraoral - complete series of radiographic images 6.9% 122 120 $7K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 6.1% 233 233 $6K
D0140 Limited oral evaluation - problem focused 6.0% 142 139 $6K
D0274 Bitewings - four radiographic images 4.4% 149 149 $4K
D0230 Intraoral - periapical each additional radiographic image 3.4% 354 247 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.3% 39 24 $3K
D1206 Topical application of fluoride varnish 2.4% 98 98 $2K
3 more codes
D1120 Dental cleaning, child 2.1% 59 $2K
D1208 Topical application of fluoride, excluding varnish <1% 13 $324.00
D0350 0% 90 $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 officialACOSTA, SANDY (PRACTICE DEVELOPMENT MANAGER)
Same official

Other billing entities under ACOSTA, SANDY

Full network →
ProviderLocationPaid
East Lansing Advanced Dental Dba East Lansing Modern DentalEast Lansing, MI$800K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.