Northside Dental PLLC

Northside Dental PLLC was paid $389K by Medicaid between Mar 2019 and Dec 2024, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 22% of everything it billed.

33Billing provider infoNORTHSIDE DENTAL PLLC
MONROE, MI 48162

33aNPI1659844413assigned 01/04/2019

33bProvider typeGeneral Practice Dentistry

28Total paid$389K

24GClaims13,917

24DCodes billed16

24AFirst – last monthMar 2019 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#156 of 1,554

Median peer was paid$15K

This provider vs. median27×

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	2,721	$85K
2020	2,623	$75K
2021	3,098	$83K
2022	2,342	$65K
2023	2,162	$57K
2024incomplete	971	$24K

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	22%	816	473	$87K
D1120	Dental cleaning, childProphylaxis - child	18%	2,100	2,098	$70K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	2,434	2,432	$56K
D1206	Topical application of fluoride varnish	12%	2,324	2,319	$46K
D1110	Prophylaxis - adult	8.1%	701	701	$32K
D0220	Intraoral - periapical first radiographic image	6.0%	1,633	1,616	$23K
D0274	Bitewings - four radiographic images	4.7%	637	637	$18K
D0230	Intraoral - periapical each additional radiographic image	4.1%	2,023	1,243	$16K
D1351	Sealant - per tooth	3.4%	497	86	$13K
D1208	Topical application of fluoride, excluding varnish	1.8%	338	338	$7K
D0210	Intraoral - complete series of radiographic images	1.2%	78	78	$5K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	1.2%	33	25	$5K

4 more codes

D2391	Resin-based composite - one surface, posterior, primary or permanent	1.0%	41	$4K
D0272	Bitewings - two radiographic images	<1%	167	$3K
D0150	Comprehensive oral evaluation - new or established patient	<1%	82	$3K
D0140	Limited oral evaluation - problem focused	<1%	13	$390.49

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 officialRUNYON, HEATHER (OFFICE MANAGER)