Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Developmental Dentistry, PLLC

Developmental Dentistry, PLLC was paid $302K by Medicaid between Jan 2018 and Jun 2023, across 17 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 32% of everything it billed.

33Billing provider infoDEVELOPMENTAL DENTISTRY, PLLC
DETROIT, MI 48201
33aNPI1679721294assigned 09/08/2008
28Total paid$302K
24GClaims3,370
24DCodes billed17
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers

Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Michigan

Rank by total paid#6 of 10
Median peer was paid$302K
This provider vs. median1.0×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20182,388$231K
2020568$47K
2021354$22K
202236$2K
202324$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 32% 481 92 $97K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 27% 717 114 $81K
D7140 Extraction, erupted tooth or exposed root 8.6% 310 101 $26K
D0140 Limited oral evaluation - problem focused 8.0% 482 467 $24K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 3.8% 87 42 $11K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3.6% 98 57 $11K
D9420 3.4% 78 77 $10K
D9222 3.2% 101 101 $10K
D2330 2.1% 73 34 $6K
D0230 Intraoral - periapical each additional radiographic image 1.6% 353 107 $5K
D0150 Comprehensive oral evaluation - new or established patient 1.5% 105 104 $4K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1.3% 43 15 $4K
5 more codes
D1120 Dental cleaning, child 1.3% 96 $4K
D1208 Topical application of fluoride, excluding varnish <1% 112 $3K
D0220 Intraoral - periapical first radiographic image <1% 128 $2K
D0210 Intraoral - complete series of radiographic images <1% 58 $2K
D0272 Bitewings - two radiographic images <1% 48 $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 officialFAGAN, SUE (BUSINESS COORDINATOR)