Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichigan Dental Outreach PC
    Ask Trek AI about this page

    Michigan Dental Outreach PC — Billing Profile & Reimbursement Data

    NPI 1205089109 · Farmington Hills, MI · Dentist

    Customize your policy alerts

    Sign up for Michigan Dental Outreach PC — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Michigan Dental Outreach PC is a dentist provider located in Farmington Hills, Michigan. This profile covers 0 Medicare and 32 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMichigan Dental Outreach PC
    Address33533 W 12 Mile Rd
    CityFarmington Hills
    StateMI
    ZIP48331
    TaxonomyDentist
    NPI EnumeratedOctober 23, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$30.4M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1351Sealant - per tooth203,230$30$5.9M
    D1120Prophylaxis–child121,860$40$4.9M
    D2392Post 2 surface resin‑based composite24,620$130$3.2M
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients125,430$30$3.1M
    D2391Resin‑based composite – one surface, posterior26,480$100$2.6M
    D0150Comprehensive oral evaluation – new or established patient54,440$40$2.4M
    D0120Periodic oral evaluation - established patient74,700$30$2.1M
    D1354N/A85,840$20$2.1M
    D0272N/A51,080$20$1.2M
    D0220Intraoral - periapical first radiographic image44,560$20$757.6K

    Showing 1–10 of 32

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Michigan median

    32 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)132640440$70$174K
    D2160Amalgam - three surfaces, primary or permanent355090$80$153.5K
    D2392Post 2 surface resin‑based composite41,170260$110$134.9K
    D2150Amalgam - two surfaces, primary or permanent77120150$70$134K
    D3220N/A149160230$120$102.7K
    D1351Sealant - per tooth1600420$30$98K
    D2391Resin‑based composite – one surface, posterior2950210$80$83.5K
    D2393Resin-based composite, three surfaces, posterior29540130$120$74.4K
    D1354N/A1100470$20$65.2K
    D2331N/A62160130$80$62.5K

    Showing 1–10 of 32

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Michigan Dental Outreach PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kathi WilsonMIDentist$6.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Michigan Dental Outreach PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Option Care Enterprises, Inc.MIHome Infusion Therapy Pharmacy$0$6.1M
    Subburaman SivakumarMIInternal Medicine Physician$270K$0
    Triad Diagnostic Technologies, LLC.MIDiagnostic Radiology Physician$139.2K$123.6K
    Jeanette GodfreyMIClinical Psychologist$87.5K$0
    Barbara ZajdelMINeuromusculoskeletal Medicine & OMM Physician$76.3K$0
    Kyle BoninMIPhysical Therapist$72K$0
    Thomas MaddenMIPhysical Therapist$69.2K$0
    Laura GruskinMIObstetrics & Gynecology Physician$26.3K$0
    Victoria HaltomMIClinical Social Worker$20.6K$0
    Ashleigh BoriaMIRegistered Dietitian$4.6K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Michigan Providers
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Michigan Distribution
    Michigan Dental Outreach PC — 13 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan