Clinic
Evergreen Dental Care
Evergreen Dental Care was paid $556K by Medicaid between Jan 2018 and Apr 2023, across 22 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.
33Billing provider infoEVERGREEN DENTAL CARE
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
33aNPI1588006837assigned 07/26/2013
33bProvider typeDental Clinic/Center
28Total paid$556K
24GClaims27,575
24DCodes billed22
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#59 of 431
Median peer was paid$24K
This provider vs. median23×
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 | 5,793 | $104K | |
| 2019 | 10,110 | $212K | |
| 2020 | 7,841 | $160K | |
| 2021 | 2,513 | $57K | |
| 2022 | 951 | $16K | |
| 2023 | 367 | $7K |
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% | 1,890 | 1,089 | $92K |
| D1110 | Prophylaxis - adult | 13% | 2,412 | 2,391 | $70K |
| D7140 | Extraction, erupted tooth or exposed root | 9.9% | 1,809 | 701 | $55K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.6% | 2,685 | 2,665 | $48K |
| D0274 | Bitewings - four radiographic images | 7.0% | 2,257 | 2,240 | $39K |
| D0140 | Limited oral evaluation - problem focused | 6.9% | 2,061 | 2,003 | $39K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.9% | 1,807 | 1,796 | $38K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.3% | 458 | 335 | $29K |
| D0210 | Intraoral - complete series of radiographic images | 5.2% | 987 | 946 | $29K |
| D0220 | Intraoral - periapical first radiographic image | 4.8% | 4,117 | 3,973 | $27K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.4% | 803 | 494 | $25K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.9% | 417 | 267 | $22K |
10 more codes
| D0330 | Panoramic radiographic image | 3.4% | 760 | $19K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 4,745 | $18K |
| D4355 | <1% | 83 | $3K | |
| D2331 | <1% | 18 | $1K | |
| D1120 | Dental cleaning, child | <1% | 29 | $961.00 |
| D1351 | Sealant - per tooth | <1% | 87 | $929.00 |
| D0270 | <1% | 92 | $650.97 | |
| D1206 | Topical application of fluoride varnish | <1% | 24 | $400.00 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 15 | $180.00 |
| D0460 | 0% | 19 | $0.00 |
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 officialHALABU, SHAKIB (OWNER)
| Provider | Location | Paid |
|---|---|---|
| The Dental Group,p.C | Mount Clemens, MI | $4.56M |
| Advanced Warren Dental PC | Warren, MI | $4.35M |
| Canton Family Dentistry | Canton Township, MI | $3.72M |
| Oakland Family Dentistry | West Bloomfield, MI | $1.99M |
| Professional Dental Alliance of Michigan, LLC | Garden City, MI | $1.82M |
| Shelby Dental Care | Shelby Township, MI | $1.75M |
| Professional Dental Alliance of Michigan, LLC | Hazel Park, MI | $1.11M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.