Dental
Professional Dental Alliance of Michigan, LLC
Professional Dental Alliance of Michigan, LLC was paid $2.77M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 12% of everything it billed.
33Billing provider infoPROFESSIONAL DENTAL ALLIANCE OF MICHIGAN, LLC
SAINT CLAIR SHORES, MI 48082
SAINT CLAIR SHORES, MI 48082
33aNPI1245589563assigned 08/31/2012
33bProvider typeDentist
28Total paid$2.77M
24GClaims75,930
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#33 of 1,033
Median peer was paid$15K
This provider vs. median184×
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 | 11,303 | $273K | |
| 2019 | 12,437 | $373K | |
| 2020 | 12,164 | $395K | |
| 2021 | 11,287 | $346K | |
| 2022 | 9,852 | $340K | |
| 2023 | 8,688 | $480K | |
| 2024incomplete | 10,199 | $564K |
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 | 12% | 3,523 | 1,979 | $344K |
| D2740 | Crown - porcelain/ceramic | 8.1% | 343 | 257 | $224K |
| D0210 | Intraoral - complete series of radiographic images | 8.1% | 4,802 | 4,721 | $223K |
| D1110 | Prophylaxis - adult | 7.7% | 5,468 | 5,441 | $214K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.8% | 1,697 | 1,058 | $188K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6.1% | 2,135 | 1,252 | $170K |
| D0140 | Limited oral evaluation - problem focused | 5.4% | 5,551 | 5,435 | $150K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.3% | 2,053 | 1,085 | $146K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.1% | 6,438 | 6,421 | $142K |
| D7140 | Extraction, erupted tooth or exposed root | 4.8% | 3,241 | 792 | $134K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.9% | 3,696 | 3,666 | $109K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.5% | 15,835 | 6,515 | $97K |
19 more codes
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 8,866 | $96K |
| D0274 | Bitewings - four radiographic images | 3.4% | 3,643 | $93K |
| D1351 | Sealant - per tooth | 2.8% | 2,632 | $78K |
| D2950 | 2.4% | 394 | $67K | |
| D4342 | 2.4% | 949 | $66K | |
| D4910 | 1.6% | 538 | $45K | |
| D1120 | Dental cleaning, child | 1.3% | 929 | $37K |
| D2394 | 1.1% | 188 | $30K | |
| D4355 | <1% | 749 | $26K | |
| D4341 | <1% | 182 | $26K | |
| D2332 | <1% | 287 | $22K | |
| D1206 | Topical application of fluoride varnish | <1% | 780 | $16K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 743 | $16K |
| D0330 | Panoramic radiographic image | <1% | 129 | $5K |
| D2330 | <1% | 62 | $3K | |
| D2335 | <1% | 22 | $2K | |
| D7250 | <1% | 27 | $2K | |
| D2331 | <1% | 14 | $562.01 | |
| D0272 | Bitewings - two radiographic images | <1% | 14 | $295.35 |
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 (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Professional Dental Alliance of Michigan, LLC | Richmond, MI | $4.25M |
| Professional Dental Alliance of Michigan, LLC | Livonia, MI | $3.56M |
| Professional Dental Alliance of Michigan,llc | Warren, MI | $3.19M |
| Amazing Dental Wyandotte PLLC | Wyandotte, MI | $2.93M |
| 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.