Dental
Professional Dental Alliance of Michigan LLC
Professional Dental Alliance of Michigan LLC was paid $33K by Medicaid between May 2018 and Nov 2019, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.
33Billing provider infoPROFESSIONAL DENTAL ALLIANCE OF MICHIGAN LLC
LIVONIA, MI 48152
LIVONIA, MI 48152
33aNPI1386035848assigned 02/05/2015
33bProvider typeDentist
28Total paid$33K
24GClaims1,111
24DCodes billed9
24AFirst – last monthMay 2018 – Nov 2019
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#418 of 1,033
Median peer was paid$15K
This provider vs. median2.2×
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 | 495 | $14K | |
| 2019 | 616 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 22% | 195 | 190 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 55 | 24 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 16% | 118 | 100 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 125 | 124 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 163 | 157 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 9.5% | 209 | 197 | $3K |
| D0274 | Bitewings - four radiographic images | 5.7% | 70 | 68 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.1% | 132 | 101 | $1K |
| D0140 | Limited oral evaluation - problem focused | 4.0% | 44 | 42 | $1K |
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 officialDAOOD, SADEER (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Dental Care of Michigan | West Bloomfield, MI | $977K |
| Flint Family Dentistry | Flint, MI | $486K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.