Family Dentistry of Novi

Family Dentistry of Novi was paid $12K by Medicaid between Mar 2024 and Dec 2024, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 28% of everything it billed.

33Billing provider infoFAMILY DENTISTRY OF NOVI
NOVI, MI 48374

33aNPI1780121749assigned 01/27/2017

33bProvider typeDentist

28Total paid$12K

24GClaims273

24DCodes billed7

24AFirst – last monthMar 2024 – Dec 2024

Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#551 of 1,033

Median peer was paid$15K

This provider vs. median0.8×

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
2024incomplete	273	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	28%	60	60	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	24%	102	102	$3K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	19%	16	12	$2K
D0150	Comprehensive oral evaluation - new or established patient	10%	30	30	$1K
D0210	Intraoral - complete series of radiographic images	9.0%	15	14	$1K
D0220	Intraoral - periapical first radiographic image	5.5%	38	37	$673.85
D1120	Dental cleaning, childProphylaxis - child	4.2%	12	12	$511.78

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 officialDIRANI, SAMER (PRESIDENT)

Parent organizationDIRANI DENTAL GROUP