Dental
Specialty Dental Partners of Tennessee PC
Specialty Dental Partners of Tennessee PC was paid $86K by Medicaid between Jan 2018 and Mar 2019, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoSPECIALTY DENTAL PARTNERS OF TENNESSEE PC
DUNDEE, MI 48131
DUNDEE, MI 48131
33aNPI1760872824assigned 01/28/2015
33bProvider typePediatric Dentist
28Total paid$86K
24GClaims3,760
24DCodes billed16
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#119 of 153
Median peer was paid$464K
This provider vs. median0.2×
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 | 2,965 | $64K | |
| 2019 | 795 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 654 | 638 | $20K |
| D1206 | Topical application of fluoride varnish | 21% | 946 | 916 | $18K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 598 | 576 | $13K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.0% | 54 | 13 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | 5.7% | 75 | 33 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 5.0% | 387 | 376 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.0% | 121 | 120 | $3K |
| D1110 | Prophylaxis - adult | 4.0% | 95 | 89 | $3K |
| D1351 | Sealant - per tooth | 3.8% | 169 | 45 | $3K |
| D0272 | Bitewings - two radiographic images | 3.6% | 198 | 195 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.6% | 362 | 342 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 22 | 14 | $1K |
4 more codes
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 officialSCHWARTZ, STUART (CEO)
| Provider | Location | Paid |
|---|---|---|
| Specialty Dental Partners of Michigan PC | Dundee, MI | $62K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.