Clinic
Dental House - West Bloomfield
Dental House - West Bloomfield was paid $132K by Medicaid between May 2023 and Dec 2024, across 15 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 14% of everything it billed.
33Billing provider infoDENTAL HOUSE - WEST BLOOMFIELD
WEST BLOOMFIELD, MI 48322
WEST BLOOMFIELD, MI 48322
33aNPI1083312243assigned 02/17/2023
33bProvider typeDental Clinic/Center
28Total paid$132K
24GClaims3,248
24DCodes billed15
24AFirst – last monthMay 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#121 of 431
Median peer was paid$24K
This provider vs. median5.5×
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 | |
|---|---|---|---|
| 2023 | 890 | $38K | |
| 2024incomplete | 2,358 | $94K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 385 | 383 | $18K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 157 | 92 | $17K |
| D1110 | Prophylaxis - adult | 13% | 319 | 319 | $17K |
| D0140 | Limited oral evaluation - problem focused | 13% | 384 | 379 | $17K |
| D1351 | Sealant - per tooth | 9.4% | 417 | 63 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 7.2% | 572 | 565 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 6.6% | 144 | 130 | $9K |
| D2740 | Crown - porcelain/ceramic | 6.1% | 19 | 12 | $8K |
| D0330 | Panoramic radiographic image | 5.1% | 116 | 116 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.4% | 474 | 306 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.2% | 51 | 26 | $4K |
| D2950 | 2.9% | 31 | 27 | $4K |
3 more codes
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 officialATTALLA, RAMY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Dental House - Waterford, PLLC | Waterford Twp, MI | $1.46M |
| Dental House - Ann Arbor PLLC | Ann Arbor, MI | $1.14M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.