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PROFESSIONAL DENTAL ALLIANCE OF MICHIGAN LLC
PROFESSIONAL DENTAL ALLIANCE OF MICHIGAN LLC
NPI: 1386035848
· LIVONIA, MI 48152
· Dentist
· NPI assigned 02/05/2015
Provider Details
| Authorized Official | DAOOD, SADEER (OWNER) |
| NPI Enumeration Date | 02/05/2015 |
Related Entities
Other providers sharing the same authorized official: DAOOD, SADEER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
495 |
$14K |
| 2019 |
616 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
195 |
190 |
$7K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
55 |
24 |
$5K |
| D0210 |
Intraoral - complete series of radiographic images |
118 |
100 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
125 |
124 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
163 |
157 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
209 |
197 |
$3K |
| D0274 |
Bitewings - four radiographic images |
70 |
68 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
132 |
101 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
44 |
42 |
$1K |