Dental
Bubble Gum Kids Dentistry
Bubble Gum Kids Dentistry was paid $248K by Medicaid between Nov 2023 and Dec 2024, across 17 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 37% of everything it billed.
33Billing provider infoBUBBLE GUM KIDS DENTISTRY
SOUTHGATE, MI 48195
SOUTHGATE, MI 48195
33aNPI1790461630assigned 06/26/2023
33bProvider typePediatric Dentist
28Total paid$248K
24GClaims4,784
24DCodes billed17
24AFirst – last monthNov 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#92 of 153
Median peer was paid$464K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2023 | 92 | $3K | |
| 2024incomplete | 4,692 | $246K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 37% | 433 | 151 | $92K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 434 | 430 | $28K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 573 | 572 | $27K |
| D1206 | Topical application of fluoride varnish | 7.2% | 575 | 574 | $18K |
| D7140 | Extraction, erupted tooth or exposed root | 6.9% | 160 | 96 | $17K |
| D0240 | 5.1% | 585 | 298 | $13K | |
| D0230 | Intraoral - periapical each additional radiographic image | 4.9% | 922 | 399 | $12K |
| D0140 | Limited oral evaluation - problem focused | 3.7% | 139 | 137 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 3.6% | 455 | 454 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.5% | 45 | 26 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 1.7% | 49 | 49 | $4K |
| D0272 | Bitewings - two radiographic images | 1.5% | 152 | 150 | $4K |
5 more codes
| D0120 | Dental checkup, returning patient | 1.4% | 88 | $4K |
| D1351 | Sealant - per tooth | 1.1% | 85 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.0% | 24 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 12 | $549.20 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 53 | $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 officialPAUNDLAY, AMY (SR. VICE PRESIDENT OF OPERATOPMS)
| Provider | Location | Paid |
|---|---|---|
| First Impressions Orthodontics | Fairfield, CT | $492K |
| Bubble Gum Kids Dentistry Clinton TWP | Clinton Township, MI | $164K |
| Bubble Gum Kids Dentistry | Warren, MI | $30K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.