Dental
Pediatric Dental Center
Pediatric Dental Center was paid $3.00M by Medicaid between Mar 2018 and Dec 2024, across 23 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL CENTER
WARREN, MI 48093
WARREN, MI 48093
33aNPI1649369356assigned 10/12/2006
33bProvider typePediatric Dentist
28Total paid$3.00M
24GClaims63,961
24DCodes billed23
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#20 of 153
Median peer was paid$464K
This provider vs. median6.5×
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 | 6,853 | $336K | |
| 2019 | 9,947 | $485K | |
| 2020 | 6,704 | $293K | |
| 2021 | 9,604 | $429K | |
| 2022 | 9,677 | $433K | |
| 2023 | 10,138 | $475K | |
| 2024incomplete | 11,038 | $554K |
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 | 15% | 3,537 | 2,384 | $442K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 9,913 | 9,910 | $418K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 13% | 2,080 | 1,349 | $390K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 9,578 | 9,577 | $324K |
| D1208 | Topical application of fluoride, excluding varnish | 9.9% | 10,671 | 10,668 | $297K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.1% | 2,863 | 2,064 | $272K |
| D7140 | Extraction, erupted tooth or exposed root | 5.9% | 2,010 | 1,250 | $176K |
| D1351 | Sealant - per tooth | 4.8% | 4,444 | 1,766 | $143K |
| D0272 | Bitewings - two radiographic images | 3.4% | 4,022 | 4,022 | $103K |
| D0140 | Limited oral evaluation - problem focused | 2.7% | 1,313 | 1,302 | $80K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 3,683 | 3,638 | $68K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 4,811 | 1,921 | $63K |
11 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 883 | $54K |
| D1110 | Prophylaxis - adult | 1.3% | 721 | $38K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.3% | 290 | $38K |
| D0330 | Panoramic radiographic image | 1.3% | 484 | $38K |
| D0240 | 1.2% | 1,738 | $37K | |
| D0274 | Bitewings - four radiographic images | <1% | 413 | $15K |
| D2330 | <1% | 37 | $3K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 17 | $2K |
| D2331 | <1% | 16 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 14 | $602.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 423 | $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 officialORIORDAN, MICHAEL (OWNER DENTIST)