Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Petoskey › NPI 1700072543
Dental

My Community Dental Centers INC

My Community Dental Centers INC was paid $152.84M by Medicaid between Jan 2018 and Dec 2024, across 91 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 11% of everything it billed.

33Billing provider infoMY COMMUNITY DENTAL CENTERS INC
PETOSKEY, MI 49770
33aNPI1700072543assigned 09/14/2007
33bProvider typePublic Health Dentist
28Total paid$152.84M
24GClaims2,983,592
24DCodes billed91
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Public Health Dentist providers in Michigan

Rank by total paid#1 of 30
Median peer was paid$253K
This provider vs. median604×

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$2.0M$4.0M2018201920202021202220232024
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
2018434,672$20.13M
2019439,476$20.18M
2020324,005$14.49M
2021413,288$18.96M
2022436,685$19.53M
2023509,052$32.32M
2024incomplete426,414$27.23M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7140 Extraction, erupted tooth or exposed root 11% 310,479 84,234 $17.25M
D1110 Prophylaxis - adult 7.3% 273,214 272,566 $11.23M
D5110 7.1% 18,364 18,273 $10.84M
D5120 5.4% 14,102 14,033 $8.26M
D0210 Intraoral - complete series of radiographic images 4.7% 127,594 126,691 $7.16M
D2150 Silver amalgam - two surfaces, primary or permanent 4.3% 102,195 61,284 $6.58M
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 3.9% 253,109 252,643 $5.97M
D1351 Sealant - per tooth 3.8% 195,711 38,336 $5.83M
D1120 Dental cleaning, childProphylaxis - child 3.0% 116,850 116,693 $4.65M
D2160 3.0% 60,527 39,202 $4.54M
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2.8% 41,858 28,801 $4.34M
D0150 Comprehensive oral evaluation - new or established patient 2.8% 125,666 125,291 $4.22M
79 more codes
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 2.4% 39,825 $3.70M
D1206 Topical application of fluoride varnish 2.3% 140,332 $3.50M
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.3% 48,875 $3.50M
D5214 2.3% 5,152 $3.45M
D0274 Bitewings - four radiographic images 2.1% 116,308 $3.23M
D2331 1.8% 37,945 $2.78M
D0140 Limited oral evaluation - problem focused 1.8% 87,723 $2.75M
D4355 1.8% 35,482 $2.75M
D2335 1.6% 21,524 $2.45M
D0220 Intraoral - periapical first radiographic image 1.6% 194,644 $2.43M
D2740 Crown - porcelain/ceramic 1.6% 4,124 $2.42M
D5213 1.6% 3,621 $2.41M
D2332 1.5% 25,858 $2.36M
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1.5% 19,242 $2.32M
D2140 1.5% 46,449 $2.31M
D2930 Prefabricated stainless steel crown - primary tooth 1.3% 10,805 $1.99M
D0230 Intraoral - periapical each additional radiographic image 1.3% 262,946 $1.96M
D2330 1.2% 30,496 $1.79M
D1354 <1% 63,726 $1.35M
D7310 <1% 11,879 $1.27M
D2161 <1% 11,094 $935K
D2950 <1% 6,147 $909K
D2394 <1% 6,229 $807K
D4341 <1% 5,763 $744K
D5225 <1% 1,386 $694K
D0330 Panoramic radiographic image <1% 16,320 $691K
D0272 Bitewings - two radiographic images <1% 27,460 $627K
D5750 <1% 3,519 $612K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 5,303 $598K
D2791 <1% 995 $585K
D5751 <1% 2,711 $472K
D0145 Oral evaluation for a patient under three years of age <1% 11,635 $328K
D2710 <1% 428 $247K
D5226 <1% 410 $193K
D9420 <1% 1,266 $189K
D5130 <1% 335 $185K
D7250 <1% 2,437 $172K
D4342 <1% 1,908 $170K
D5650 <1% 1,701 $153K
D4910 <1% 1,997 $150K
D3310 <1% 351 $139K
D7230 <1% 947 $131K
D3320 <1% 267 $123K
D5411 <1% 2,769 $117K
D5410 <1% 2,509 $107K
D7220 <1% 1,132 $102K
D2751 Crown - porcelain fused to predominantly base metal <1% 196 $100K
D5212 <1% 164 $92K
D7320 <1% 663 $91K
D0240 <1% 3,734 $79K
D4346 <1% 1,173 $75K
D9930 <1% 2,502 $74K
D5422 <1% 1,557 $66K
D5211 <1% 87 $54K
D1510 <1% 264 $49K
D2940 <1% 818 $44K
D0273 <1% 2,029 $41K
D9310 <1% 1,180 $39K
D5421 <1% 840 $36K
D5140 <1% 45 $25K
D2920 <1% 503 $22K
D5520 <1% 280 $21K
D7473 <1% 111 $20K
D9243 <1% 306 $18K
D5512 <1% 186 $17K
D0270 <1% 1,762 $17K
D7240 Removal of impacted tooth - completely bony <1% 102 $15K
D9239 <1% 500 $15K
D2954 <1% 66 $10K
D5511 <1% 92 $9K
D7111 <1% 145 $9K
D5640 <1% 114 $8K
D1208 Topical application of fluoride, excluding varnish <1% 407 $6K
D7471 <1% 35 $5K
D5660 <1% 18 $2K
D9110 <1% 12 $419.00
D2951 <1% 16 $411.11
D0180 0% 20 $0.00
D0460 0% 21 $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 officialSCHANER, KRISTIN (CREDENTIALING)