Dental
Mitten Kids Dentistry Cascade PLC
Mitten Kids Dentistry Cascade PLC was paid $7.23M by Medicaid between Jul 2019 and Dec 2024, across 34 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 32% of everything it billed.
33Billing provider infoMITTEN KIDS DENTISTRY CASCADE PLC
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
33aNPI1710540398assigned 04/18/2019
33bProvider typePediatric Dentist
28Total paid$7.23M
24GClaims112,989
24DCodes billed34
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#8 of 153
Median peer was paid$464K
This provider vs. median16×
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 | 9,546 | $650K | |
| 2020 | 14,973 | $787K | |
| 2021 | 21,078 | $1.34M | |
| 2022 | 21,451 | $1.33M | |
| 2023 | 19,395 | $1.26M | |
| 2024incomplete | 26,546 | $1.87M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 32% | 11,552 | 2,896 | $2.32M |
| D7140 | Extraction, erupted tooth or exposed root | 9.2% | 7,465 | 2,702 | $665K |
| D2934 | 7.6% | 2,492 | 815 | $551K | |
| D1120 | Dental cleaning, childProphylaxis - child | 6.4% | 11,410 | 11,399 | $465K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.2% | 3,806 | 2,157 | $451K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 5.8% | 3,289 | 1,266 | $419K |
| D1206 | Topical application of fluoride varnish | 4.7% | 12,024 | 12,012 | $337K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.9% | 3,173 | 1,954 | $283K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.8% | 8,197 | 8,196 | $275K |
| D0140 | Limited oral evaluation - problem focused | 3.1% | 3,606 | 3,566 | $227K |
| D1351 | Sealant - per tooth | 2.8% | 6,237 | 2,069 | $202K |
| D2929 | 2.4% | 800 | 255 | $177K |
22 more codes
| D9310 | 1.7% | 1,575 | $124K | |
| D0272 | Bitewings - two radiographic images | 1.7% | 4,994 | $121K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 8,827 | $115K |
| D0240 | 1.5% | 5,953 | $112K | |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 4,632 | $87K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,052 | $68K |
| D1510 | <1% | 279 | $57K | |
| D0330 | Panoramic radiographic image | <1% | 602 | $41K |
| D9420 | <1% | 242 | $34K | |
| D9248 | <1% | 615 | $28K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 1,131 | $26K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 439 | $18K |
| D1110 | Prophylaxis - adult | <1% | 220 | $10K |
| D0191 | <1% | 338 | $7K | |
| D1354 | <1% | 170 | $4K | |
| D0274 | Bitewings - four radiographic images | <1% | 128 | $4K |
| D9996 | 0% | 149 | $0.00 | |
| D3120 | 0% | 522 | $0.00 | |
| D0602 | 0% | 1,347 | $0.00 | |
| D0603 | 0% | 5,687 | $0.00 | |
| D0601 | 0% | 23 | $0.00 | |
| D1330 | 0% | 13 | $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 officialKINGMA, BRETT (OWNER)