Dental
Dental Care Team P C
Dental Care Team P C was paid $133K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 28% of everything it billed.
33Billing provider infoDENTAL CARE TEAM P C
GRAND BLANC, MI 48439
GRAND BLANC, MI 48439
33aNPI1962795880assigned 05/25/2011
33bProvider typeDentist
28Total paid$133K
24GClaims5,325
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#237 of 1,033
Median peer was paid$15K
This provider vs. median8.8×
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 | 873 | $20K | |
| 2019 | 731 | $17K | |
| 2020 | 352 | $8K | |
| 2021 | 665 | $16K | |
| 2022 | 747 | $18K | |
| 2023 | 1,154 | $28K | |
| 2024incomplete | 803 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 28% | 1,010 | 1,009 | $37K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 28% | 1,472 | 1,469 | $37K |
| D1206 | Topical application of fluoride varnish | 12% | 712 | 711 | $16K |
| D1208 | Topical application of fluoride, excluding varnish | 7.8% | 478 | 478 | $10K |
| D1110 | Prophylaxis - adult | 6.8% | 196 | 195 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 6.5% | 586 | 582 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.8% | 639 | 414 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 77 | 77 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.9% | 19 | 13 | $2K |
| D0330 | Panoramic radiographic image | 1.2% | 58 | 58 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 53 | 52 | $1K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 13 | 13 | $767.25 |
1 more codes
| D0272 | Bitewings - two radiographic images | <1% | 12 | $288.00 |
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 officialJARJOURA, IBRAHIM (OWNER/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Dental Care Team- Hill Road | Grand Blanc, MI | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.