Clinic
Mi Smile Family Dentistry PLLC
Mi Smile Family Dentistry PLLC was paid $16K by Medicaid between Jan 2022 and Dec 2022, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 39% of everything it billed.
33Billing provider infoMI SMILE FAMILY DENTISTRY PLLC
YPSILANTI, MI 48197
YPSILANTI, MI 48197
33aNPI1649874579assigned 11/22/2020
33bProvider typeDental Clinic/Center
28Total paid$16K
24GClaims668
24DCodes billed8
24AFirst – last monthJan 2022 – Dec 2022
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#252 of 431
Median peer was paid$24K
This provider vs. median0.7×
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
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 | |
|---|---|---|---|
| 2022 | 668 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 39% | 117 | 117 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 19% | 215 | 197 | $3K |
| D0274 | Bitewings - four radiographic images | 16% | 82 | 82 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 68 | 68 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.5% | 143 | 128 | $878.00 |
| D0330 | Panoramic radiographic image | 3.8% | 13 | 13 | $612.00 |
| D0140 | Limited oral evaluation - problem focused | 3.7% | 18 | 18 | $591.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 12 | 12 | $377.00 |
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 officialCHENG, CATHY (OWNER)