Dental
Professional Dental Alliance of Romulus, LLC
Professional Dental Alliance of Romulus, LLC was paid $205K by Medicaid between Apr 2023 and Dec 2024, across 18 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.
33Billing provider infoPROFESSIONAL DENTAL ALLIANCE OF ROMULUS, LLC
ROMULUS, MI 48174
ROMULUS, MI 48174
33aNPI1467964700assigned 10/26/2017
33bProvider typeDentist
28Total paid$205K
24GClaims4,318
24DCodes billed18
24AFirst – last monthApr 2023 – Dec 2024
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#192 of 1,033
Median peer was paid$15K
This provider vs. median14×
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 | |
|---|---|---|---|
| 2023 | 1,142 | $59K | |
| 2024incomplete | 3,176 | $146K |
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 | 17% | 329 | 187 | $35K |
| D7140 | Extraction, erupted tooth or exposed root | 12% | 294 | 80 | $24K |
| D0140 | Limited oral evaluation - problem focused | 11% | 598 | 593 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.2% | 495 | 494 | $19K |
| D2740 | Crown - porcelain/ceramic | 8.8% | 33 | 29 | $18K |
| D2950 | 7.8% | 143 | 97 | $16K | |
| D1110 | Prophylaxis - adult | 6.3% | 300 | 300 | $13K |
| D0210 | Intraoral - complete series of radiographic images | 6.2% | 238 | 229 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 5.2% | 766 | 753 | $11K |
| D3320 | 2.6% | 15 | 12 | $5K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.6% | 247 | 247 | $5K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.5% | 48 | 26 | $5K |
6 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 57 | $5K |
| D1206 | Topical application of fluoride varnish | 1.8% | 158 | $4K |
| D0274 | Bitewings - four radiographic images | 1.7% | 132 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 383 | $3K |
| D0330 | Panoramic radiographic image | 1.1% | 42 | $2K |
| D1120 | Dental cleaning, child | <1% | 40 | $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 officialMARLOW, ANNETTE (CREDENTIALING SUPERVISOR)
| Provider | Location | Paid |
|---|---|---|
| Professional Denal Alliance of Michigan,llc | Southfield, MI | $2.18M |
| Professional Dental Alliance of Highland, PLLC | Highland, MI | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.