Dental
Eastside Family Dentistry
Eastside Family Dentistry was paid $32K by Medicaid between Jun 2019 and Dec 2020, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
33Billing provider infoEASTSIDE FAMILY DENTISTRY
SHELBY TOWNSHIP, MI 48315
SHELBY TOWNSHIP, MI 48315
33aNPI1649595232assigned 04/07/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$32K
24GClaims1,017
24DCodes billed5
24AFirst – last monthJun 2019 – Dec 2020
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#595 of 1,554
Median peer was paid$15K
This provider vs. median2.2×
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 | 507 | $16K | |
| 2020 | 510 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 241 | 239 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 326 | 324 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 24% | 321 | 319 | $8K |
| D1110 | Prophylaxis - adult | 14% | 86 | 85 | $4K |
| D0274 | Bitewings - four radiographic images | 4.7% | 43 | 42 | $1K |
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 officialKEYORKGY, FADI (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Eastland Family Dentistry | Detroit, MI | $71K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.