Clinic
Ansari Dental of Troy PLLC
Ansari Dental of Troy PLLC was paid $71K by Medicaid between Sep 2020 and Dec 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 39% of everything it billed.
33Billing provider infoANSARI DENTAL OF TROY PLLC
TROY, MI 48083
TROY, MI 48083
33aNPI1306334503assigned 04/24/2018
33bProvider typeDental Clinic/Center
28Total paid$71K
24GClaims1,729
24DCodes billed8
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#157 of 431
Median peer was paid$24K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2020 | 142 | $7K | |
| 2021 | 382 | $16K | |
| 2022 | 566 | $26K | |
| 2023 | 367 | $13K | |
| 2024incomplete | 272 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 39% | 564 | 562 | $28K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 27% | 233 | 147 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 382 | 379 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.7% | 127 | 127 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 4.4% | 49 | 49 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 3.6% | 168 | 153 | $3K |
| D0140 | Limited oral evaluation - problem focused | 3.0% | 51 | 50 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 2.4% | 155 | 155 | $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 officialWALKER, TONYA (BILLER)