Dental
Waterford Kids Dental Club, PLLC
Waterford Kids Dental Club, PLLC was paid $81K by Medicaid between Aug 2020 and Nov 2024, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 41% of everything it billed.
33Billing provider infoWATERFORD KIDS DENTAL CLUB, PLLC
WATERFORD, MI 48328
WATERFORD, MI 48328
33aNPI1689224818assigned 09/19/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$81K
24GClaims2,405
24DCodes billed8
24AFirst – last monthAug 2020 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#401 of 1,554
Median peer was paid$15K
This provider vs. median5.6×
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 | 228 | $6K | |
| 2021 | 642 | $22K | |
| 2022 | 638 | $21K | |
| 2023 | 601 | $22K | |
| 2024incomplete | 296 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 41% | 816 | 815 | $33K |
| D1206 | Topical application of fluoride varnish | 24% | 762 | 761 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 317 | 317 | $14K |
| D0140 | Limited oral evaluation - problem focused | 9.4% | 177 | 172 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.0% | 138 | 138 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 1.7% | 57 | 57 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 108 | 25 | $916.91 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 30 | 29 | $462.89 |
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 officialURQUIOLA, REBECA (OWNER)