Dental
Riverview Pediatric Dental Care PC
Riverview Pediatric Dental Care PC was paid $91K by Medicaid between Aug 2021 and Feb 2023, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
33Billing provider infoRIVERVIEW PEDIATRIC DENTAL CARE PC
RIVERVIEW, MI 48193
RIVERVIEW, MI 48193
33aNPI1922696939assigned 01/05/2021
33bProvider typePediatric Dentist
28Total paid$91K
24GClaims2,979
24DCodes billed9
24AFirst – last monthAug 2021 – Feb 2023
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#115 of 153
Median peer was paid$464K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2021 | 1,184 | $38K | |
| 2022 | 1,575 | $46K | |
| 2023 | 220 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 648 | 648 | $27K |
| D1206 | Topical application of fluoride varnish | 21% | 673 | 673 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 419 | 419 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.3% | 496 | 225 | $7K |
| D0272 | Bitewings - two radiographic images | 7.0% | 286 | 286 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.9% | 102 | 102 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 6.4% | 306 | 304 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.1% | 31 | 27 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 18 | 12 | $2K |
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 officialOUEIS, HASSAN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Children's Dental Care PLLC | Dearborn, MI | $37.53M |
| Children's Dental Care of Canton | Canton, MI | $3.34M |
| Children Dental Specialists | Livonia, MI | $3.13M |
| Royal Oak Surgical Center, LLC | Royal Oak, MI | $428K |
| Childrens Dental Care of Detroit | Detroit, MI | $322K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.