Dental
Smiles of Grand River PLLC
Smiles of Grand River PLLC was paid $69K by Medicaid between Jun 2019 and Dec 2024, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 29% of everything it billed.
33Billing provider infoSMILES OF GRAND RIVER PLLC
NEW HUDSON, MI 48165
NEW HUDSON, MI 48165
33aNPI1710341102assigned 04/12/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$69K
24GClaims2,039
24DCodes billed11
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#433 of 1,554
Median peer was paid$15K
This provider vs. median4.7×
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 | |
|---|---|---|---|
| 2019 | 43 | $2K | |
| 2020 | 12 | $324.00 | |
| 2021 | 509 | $19K | |
| 2022 | 388 | $11K | |
| 2023 | 430 | $13K | |
| 2024incomplete | 657 | $23K |
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% | 728 | 728 | $20K |
| D1110 | Prophylaxis - adult | 22% | 294 | 294 | $15K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 222 | 222 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 70 | 48 | $9K |
| D1206 | Topical application of fluoride varnish | 11% | 296 | 296 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 5.9% | 245 | 241 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 16 | 13 | $1K |
| D0274 | Bitewings - four radiographic images | 1.5% | 27 | 27 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 98 | 98 | $967.42 |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.1% | 29 | 29 | $780.00 |
| D0210 | Intraoral - complete series of radiographic images | 1.1% | 14 | 14 | $721.00 |
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 officialSHAHEEN, JAMES (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Metro Treatment of South Carolina | West Columbia, SC | $1.08M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.