Dental
Wyandotte Family Dental, PLLC
Wyandotte Family Dental, PLLC was paid $40K by Medicaid between Feb 2018 and Aug 2022, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 29% of everything it billed.
33Billing provider infoWYANDOTTE FAMILY DENTAL, PLLC
WYANDOTTE, MI 48192
WYANDOTTE, MI 48192
33aNPI1689823536assigned 09/16/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$40K
24GClaims2,003
24DCodes billed9
24AFirst – last monthFeb 2018 – Aug 2022
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#549 of 1,554
Median peer was paid$15K
This provider vs. median2.7×
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 | |
|---|---|---|---|
| 2018 | 174 | $5K | |
| 2019 | 466 | $9K | |
| 2020 | 477 | $9K | |
| 2021 | 625 | $12K | |
| 2022 | 261 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 29% | 457 | 457 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 21% | 651 | 631 | $8K |
| D1110 | Prophylaxis - adult | 14% | 126 | 125 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 144 | 144 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 194 | 194 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.0% | 314 | 284 | $2K |
| D0274 | Bitewings - four radiographic images | 5.0% | 74 | 74 | $2K |
| D0140 | Limited oral evaluation - problem focused | 2.2% | 28 | 28 | $857.00 |
| D0272 | Bitewings - two radiographic images | <1% | 15 | 15 | $346.00 |
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 officialCLEEREMAN, SUSAN (OWNER)