Dental
Professional Dental Alliance of Michigan,llc
Professional Dental Alliance of Michigan,llc was paid $3.19M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 13% of everything it billed.
33Billing provider infoPROFESSIONAL DENTAL ALLIANCE OF MICHIGAN,LLC
WARREN, MI 48093
WARREN, MI 48093
33aNPI1164771481assigned 08/31/2012
33bProvider typeDentist
28Total paid$3.19M
24GClaims82,449
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#31 of 1,033
Median peer was paid$15K
This provider vs. median212×
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 | 13,280 | $368K | |
| 2019 | 13,447 | $471K | |
| 2020 | 9,939 | $303K | |
| 2021 | 11,048 | $321K | |
| 2022 | 12,876 | $357K | |
| 2023 | 11,092 | $557K | |
| 2024incomplete | 10,767 | $817K |
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 | 13% | 5,113 | 3,083 | $429K |
| D7140 | Extraction, erupted tooth or exposed root | 11% | 7,653 | 2,540 | $352K |
| D2740 | Crown - porcelain/ceramic | 8.6% | 414 | 306 | $276K |
| D1110 | Prophylaxis - adult | 7.7% | 6,574 | 6,515 | $245K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.2% | 2,024 | 1,393 | $199K |
| D0140 | Limited oral evaluation - problem focused | 6.0% | 7,212 | 7,053 | $191K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.7% | 2,530 | 1,532 | $182K |
| D0210 | Intraoral - complete series of radiographic images | 5.7% | 4,264 | 4,152 | $181K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.9% | 2,683 | 1,722 | $156K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 5,532 | 5,489 | $151K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.1% | 6,267 | 6,233 | $130K |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 10,779 | 10,425 | $105K |
22 more codes
| D0274 | Bitewings - four radiographic images | 3.2% | 4,369 | $102K |
| D2950 | 3.1% | 562 | $97K | |
| D0330 | Panoramic radiographic image | 2.2% | 2,127 | $69K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 9,561 | $57K |
| D4341 | 1.5% | 333 | $49K | |
| D5110 | 1.2% | 65 | $37K | |
| D1120 | Dental cleaning, child | 1.1% | 908 | $36K |
| D4355 | <1% | 505 | $26K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,135 | $24K |
| D2332 | <1% | 232 | $17K | |
| D2394 | <1% | 138 | $15K | |
| D5120 | <1% | 25 | $11K | |
| D2331 | <1% | 154 | $9K | |
| D1351 | Sealant - per tooth | <1% | 277 | $9K |
| D2335 | <1% | 94 | $8K | |
| D5213 | <1% | 14 | $7K | |
| D2330 | <1% | 153 | $7K | |
| D0272 | Bitewings - two radiographic images | <1% | 223 | $4K |
| D4910 | <1% | 38 | $4K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 125 | $3K |
| D0270 | <1% | 342 | $3K | |
| D4346 | <1% | 24 | $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 officialHAMAMA, SHAMS (REGIONAL MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Professional Dental Alliance of Michigan, LLC | Richmond, MI | $4.25M |
| Professional Dental Alliance of Michigan, LLC | Livonia, MI | $3.56M |
| Amazing Dental Wyandotte PLLC | Wyandotte, MI | $2.93M |
| Professional Dental Alliance of Michigan, LLC | Saint Clair Shores, MI | $2.77M |
| Sterling Heights Dental Care P.C. | Sterling Heights, MI | $1.48M |
| Southfield Dental Care P.C. | Southfield, MI | $43K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.