Dental
Primehealth of Michigan LLC
Primehealth of Michigan LLC was paid $266K by Medicaid between Jan 2018 and Jun 2021, across 27 billing codes. Its largest line is 11721, — 24% of everything it billed.
33Billing provider infoPRIMEHEALTH OF MICHIGAN LLC
DEARBORN, MI 48120
DEARBORN, MI 48120
33aNPI1699228072assigned 08/02/2016
33bProvider typeDentist
28Total paid$266K
24GClaims14,035
24DCodes billed27
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#160 of 1,033
Median peer was paid$15K
This provider vs. median18×
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 | 5,603 | $108K | |
| 2019 | 5,898 | $104K | |
| 2020 | 2,029 | $41K | |
| 2021 | 505 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 11721 | 24% | 3,130 | 3,057 | $65K | |
| 92015 | Determination of refractive state | 11% | 2,794 | 2,729 | $30K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 2,043 | 2,042 | $30K |
| 11730 | 9.9% | 531 | 521 | $26K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.4% | 1,673 | 1,672 | $25K |
| 92341 | 7.4% | 884 | 879 | $20K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.7% | 302 | 298 | $18K |
| D1110 | Prophylaxis - adult | 4.1% | 500 | 499 | $11K |
| 92557 | 2.9% | 397 | 396 | $8K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.2% | 148 | 138 | $6K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.1% | 131 | 131 | $5K |
| 17250 | 2.0% | 309 | 301 | $5K |
15 more codes
| 92567 | 1.2% | 437 | $3K | |
| 11055 | <1% | 76 | $2K | |
| 92553 | <1% | 94 | $2K | |
| 92002 | <1% | 40 | $2K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 48 | $1K |
| 11720 | <1% | 76 | $1K | |
| 99307 | <1% | 48 | $1K | |
| 11056 | <1% | 31 | $1K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 17 | $766.65 |
| 99304 | <1% | 37 | $729.04 | |
| 92555 | <1% | 46 | $565.87 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 13 | $333.06 |
| 92250 | <1% | 17 | $75.48 | |
| G8415 | Footwear evaluation was not performed | 0% | 142 | $0.00 |
| G8404 | Lower extremity neurological exam performed and documented | 0% | 71 | $0.00 |
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 officialKING, KENNETH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Primehealth of Indiana LLC | Indianapolis, IN | $2.16M |
| King & Wiggins, D.M.D., P.A. | North Charleston, SC | $148K |
| Primehealth of Kentucky LLC | Louisville, KY | $63K |
| Seniorwell Pod of Ohio LLC | Columbus, OH | $36K |
| Primehealth of Ohio LLC | Columbus, OH | $36K |
| Seniorwell Pod of Wisconsin LLC | Milwaukee, WI | $10K |
| Seniorwell of Missouri LLC | Saint Louis, MO | $4K |
| Seniorwell of Wisconsin LLC | Milwaukee, WI | $199.50 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.