Dental
Charles A. Plumley DDS and Scott A. Cain DDS, P.C.
Charles A. Plumley DDS and Scott A. Cain DDS, P.C. was paid $61K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.
33Billing provider infoCHARLES A. PLUMLEY DDS AND SCOTT A. CAIN DDS, P.C.
MIDLAND, MI 48640
MIDLAND, MI 48640
33aNPI1831239300assigned 02/07/2007
33bProvider typeDentist
28Total paid$61K
24GClaims1,955
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#327 of 1,033
Median peer was paid$15K
This provider vs. median4.1×
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 | 105 | $3K | |
| 2020 | 313 | $9K | |
| 2021 | 471 | $14K | |
| 2022 | 255 | $8K | |
| 2023 | 517 | $18K | |
| 2024incomplete | 294 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 33% | 505 | 504 | $20K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 31% | 690 | 689 | $19K |
| D1208 | Topical application of fluoride, excluding varnish | 22% | 595 | 595 | $14K |
| D1110 | Prophylaxis - adult | 5.8% | 73 | 73 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.4% | 23 | 15 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 14 | 12 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 28 | 28 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 15 | 15 | $457.10 |
| D0272 | Bitewings - two radiographic images | <1% | 12 | 12 | $286.00 |
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 officialCAIN, SCOTT (OWNER)