Preferred Dental Practice, PC

Preferred Dental Practice, PC was paid $27K by Medicaid between Apr 2018 and Sep 2023, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 45% of everything it billed.

33Billing provider infoPREFERRED DENTAL PRACTICE, PC
EASTPOINTE, MI 48021

33aNPI1841383841assigned 10/02/2006

33bProvider typeDental Hygienist

28Total paid$27K

24GClaims838

24DCodes billed5

24AFirst – last monthApr 2018 – Sep 2023

Compared with peers

Next to other Dental Hygienist providers in Michigan

Rank by total paid#6 of 8

Median peer was paid$71K

This provider vs. median0.4×

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	402	$13K
2019	332	$11K
2020	55	$1K
2021	36	$892.00
2023	13	$380.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	45%	322	322	$12K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	38%	342	342	$10K
D1206	Topical application of fluoride varnish	13%	132	132	$4K
D1208	Topical application of fluoride, excluding varnish	2.4%	27	27	$654.70
D0220	Intraoral - periapical first radiographic image	<1%	15	15	$220.21

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 officialDEMEULENAERE, TIMOTHY (GENERAL DENTIST/PRESIDENT)