Clinic
Sandusky Dental PLLC
Sandusky Dental PLLC was paid $468K by Medicaid between Jul 2020 and Dec 2024, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.
33Billing provider infoSANDUSKY DENTAL PLLC
SANDUSKY, MI 48471
SANDUSKY, MI 48471
33aNPI1649779034assigned 02/12/2018
33bProvider typeDental Clinic/Center
28Total paid$468K
24GClaims12,269
24DCodes billed12
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#69 of 431
Median peer was paid$24K
This provider vs. median19×
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 | |
|---|---|---|---|
| 2020 | 826 | $27K | |
| 2021 | 1,920 | $58K | |
| 2022 | 2,317 | $71K | |
| 2023 | 3,078 | $111K | |
| 2024incomplete | 4,128 | $202K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 2,080 | 2,080 | $83K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 2,892 | 2,892 | $80K |
| D1110 | Prophylaxis - adult | 16% | 1,454 | 1,454 | $76K |
| D1206 | Topical application of fluoride varnish | 13% | 2,404 | 2,404 | $59K |
| D0272 | Bitewings - two radiographic images | 9.1% | 1,912 | 1,912 | $42K |
| D0330 | Panoramic radiographic image | 7.1% | 478 | 478 | $33K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.6% | 269 | 191 | $26K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.4% | 198 | 139 | $25K |
| D2740 | Crown - porcelain/ceramic | 4.3% | 30 | 19 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.0% | 437 | 437 | $19K |
| D0140 | Limited oral evaluation - problem focused | <1% | 77 | 77 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 38 | 38 | $643.60 |
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 officialBURDUA, ANTHONY (OWNER/DOCTOR)