Clinic
Premier Smiles
Premier Smiles was paid $112K by Medicaid between Nov 2022 and Dec 2024, across 12 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 16% of everything it billed.
33Billing provider infoPREMIER SMILES
HAMTRAMCK, MI 48212
HAMTRAMCK, MI 48212
33aNPI1699413971assigned 05/25/2022
33bProvider typeDental Clinic/Center
28Total paid$112K
24GClaims2,460
24DCodes billed12
24AFirst – last monthNov 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#129 of 431
Median peer was paid$24K
This provider vs. median4.6×
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 | |
|---|---|---|---|
| 2022 | 12 | $295.29 | |
| 2023 | 467 | $16K | |
| 2024incomplete | 1,981 | $95K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 16% | 265 | 263 | $18K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 130 | 87 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 340 | 339 | $15K |
| D0140 | Limited oral evaluation - problem focused | 9.8% | 243 | 237 | $11K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 9.2% | 64 | 53 | $10K |
| D1110 | Prophylaxis - adult | 8.3% | 170 | 170 | $9K |
| D1206 | Topical application of fluoride varnish | 7.0% | 302 | 302 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.9% | 196 | 196 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.7% | 228 | 228 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 4.1% | 265 | 259 | $5K |
| D0274 | Bitewings - four radiographic images | 1.9% | 66 | 66 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.7% | 191 | 167 | $2K |
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 officialSULIMAN, RANIM (DENTIST)