Clinic
Henderson & Associates DDS PC Dba Jolly Smiles Mobile Dental Services
Henderson & Associates DDS PC Dba Jolly Smiles Mobile Dental Services was paid $317K by Medicaid between Nov 2022 and Dec 2024, across 13 billing codes. Its largest line is D1351, Sealant - per tooth — 56% of everything it billed.
33Billing provider infoHENDERSON & ASSOCIATES DDS PC DBA JOLLY SMILES MOBILE DENTAL SERVICES
DETROIT, MI 48226
DETROIT, MI 48226
33aNPI1770244972assigned 01/10/2022
33bProvider typeDental Clinic/Center
28Total paid$317K
24GClaims10,570
24DCodes billed13
24AFirst – last monthNov 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#86 of 431
Median peer was paid$24K
This provider vs. median13×
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 | 442 | $11K | |
| 2023 | 2,143 | $59K | |
| 2024incomplete | 7,985 | $247K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 56% | 5,915 | 702 | $178K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.1% | 729 | 729 | $29K |
| D0191 | 7.4% | 962 | 960 | $23K | |
| D1208 | Topical application of fluoride, excluding varnish | 7.0% | 889 | 888 | $22K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.4% | 108 | 27 | $14K |
| D0274 | Bitewings - four radiographic images | 4.1% | 355 | 355 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 544 | 544 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 655 | 542 | $7K |
| D1110 | Prophylaxis - adult | 2.0% | 116 | 115 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 146 | 146 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 61 | 14 | $5K |
| D0272 | Bitewings - two radiographic images | <1% | 78 | 78 | $2K |
1 more codes
| D1206 | Topical application of fluoride varnish | <1% | 12 | $300.00 |
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 officialHENDERSON, ELBERT (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Downtown Detroit Dental | Detroit, MI | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.