Dental
Childrens Dental Specialists of Hazel Park PLLC
Childrens Dental Specialists of Hazel Park PLLC was paid $1.49M by Medicaid between Oct 2019 and Sep 2024, across 25 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 39% of everything it billed.
33Billing provider infoCHILDRENS DENTAL SPECIALISTS OF HAZEL PARK PLLC
HAZEL PARK, MI 48030
HAZEL PARK, MI 48030
33aNPI1780143982assigned 03/18/2019
33bProvider typePediatric Dentist
28Total paid$1.49M
24GClaims29,225
24DCodes billed25
24AFirst – last monthOct 2019 – Sep 2024
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#42 of 153
Median peer was paid$464K
This provider vs. median3.2×
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 | |
|---|---|---|---|
| 2019 | 226 | $3K | |
| 2020 | 3,757 | $154K | |
| 2021 | 21,934 | $1.11M | |
| 2022 | 894 | $62K | |
| 2023 | 2,078 | $154K | |
| 2024incomplete | 336 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 39% | 3,305 | 1,020 | $589K |
| D7140 | Extraction, erupted tooth or exposed root | 11% | 1,999 | 919 | $162K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.8% | 2,829 | 2,803 | $102K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.8% | 8,127 | 2,006 | $86K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.3% | 1,894 | 1,866 | $80K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.6% | 771 | 459 | $68K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.4% | 547 | 318 | $65K |
| D1206 | Topical application of fluoride varnish | 3.6% | 2,323 | 2,298 | $54K |
| D2390 | 3.4% | 281 | 108 | $51K | |
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 2,393 | 2,353 | $40K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.7% | 332 | 221 | $40K |
| D1351 | Sealant - per tooth | 2.1% | 1,341 | 440 | $31K |
13 more codes
| D0140 | Limited oral evaluation - problem focused | 1.9% | 578 | $29K |
| D0120 | Dental checkup, returning patient | 1.6% | 846 | $24K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 565 | $12K |
| D2330 | <1% | 137 | $11K | |
| D2934 | <1% | 44 | $11K | |
| D0330 | Panoramic radiographic image | <1% | 173 | $9K |
| D9248 | <1% | 132 | $7K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 224 | $6K |
| D1510 | <1% | 27 | $5K | |
| D0272 | Bitewings - two radiographic images | <1% | 187 | $4K |
| D1110 | Prophylaxis - adult | <1% | 84 | $4K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 67 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 19 | $614.00 |
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 officialNWABUEZE, IFECHIDE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Children's Dental Specialists PLLC | Troy, MI | $9.79M |
| Southfield Kids Dentist PLC | Southfield, MI | $2.96M |
| Childrens Dental Specialists of Waterford PLLC | Waterford, MI | $444K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.