Dental
Lakes Pediatric Dentistry
Lakes Pediatric Dentistry was paid $2.69M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.
33Billing provider infoLAKES PEDIATRIC DENTISTRY
COMMERCE, MI 48382
COMMERCE, MI 48382
33aNPI1952350852assigned 05/08/2006
33bProvider typePediatric Dentist
28Total paid$2.69M
24GClaims52,114
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#28 of 153
Median peer was paid$464K
This provider vs. median5.8×
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 | 3,474 | $185K | |
| 2019 | 5,192 | $279K | |
| 2020 | 5,479 | $271K | |
| 2021 | 7,858 | $395K | |
| 2022 | 10,195 | $546K | |
| 2023 | 10,852 | $573K | |
| 2024incomplete | 9,064 | $446K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 21% | 4,546 | 2,239 | $579K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 8,535 | 8,526 | $365K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 12% | 1,575 | 755 | $312K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.5% | 7,229 | 7,224 | $255K |
| D7140 | Extraction, erupted tooth or exposed root | 6.4% | 1,884 | 1,078 | $172K |
| D1208 | Topical application of fluoride, excluding varnish | 5.7% | 5,663 | 5,656 | $154K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.5% | 1,258 | 737 | $122K |
| D1206 | Topical application of fluoride varnish | 3.7% | 3,371 | 3,369 | $100K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 1,569 | 1,563 | $98K |
| D0210 | Intraoral - complete series of radiographic images | 3.2% | 1,140 | 1,113 | $86K |
| D1351 | Sealant - per tooth | 3.1% | 2,552 | 1,030 | $84K |
| D0140 | Limited oral evaluation - problem focused | 3.1% | 1,381 | 1,356 | $84K |
13 more codes
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.8% | 577 | $75K |
| D0272 | Bitewings - two radiographic images | 2.7% | 2,783 | $72K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 2,214 | $30K |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 1,540 | $29K |
| D1110 | Prophylaxis - adult | 1.1% | 517 | $29K |
| D0240 | <1% | 985 | $21K | |
| D0274 | Bitewings - four radiographic images | <1% | 260 | $10K |
| D2332 | <1% | 41 | $5K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 91 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 17 | $3K |
| D9920 | <1% | 29 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 12 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 2,345 | $110.00 |
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 officialFAROOQ, NAILA (PRESIDENT)