Dental
Executive Dentistry DDS PC
Executive Dentistry DDS PC was paid $404K by Medicaid between Jul 2020 and Dec 2024, across 11 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 37% of everything it billed.
33Billing provider infoEXECUTIVE DENTISTRY DDS PC
DEARBORN, MI 48124
DEARBORN, MI 48124
33aNPI1598007692assigned 03/27/2013
33bProvider typeDentist
28Total paid$404K
24GClaims10,737
24DCodes billed11
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#120 of 1,033
Median peer was paid$15K
This provider vs. median27×
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 | 618 | $17K | |
| 2021 | 2,181 | $83K | |
| 2022 | 2,327 | $85K | |
| 2023 | 2,629 | $100K | |
| 2024incomplete | 2,982 | $120K |
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 | 37% | 1,238 | 493 | $150K |
| D1110 | Prophylaxis - adult | 15% | 1,211 | 1,205 | $61K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,980 | 1,976 | $52K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 1,156 | 1,156 | $43K |
| D1208 | Topical application of fluoride, excluding varnish | 8.3% | 1,495 | 1,494 | $34K |
| D0274 | Bitewings - four radiographic images | 5.7% | 707 | 703 | $23K |
| D0220 | Intraoral - periapical first radiographic image | 5.0% | 1,306 | 1,285 | $20K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.4% | 1,532 | 1,073 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 77 | 77 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 16 | 14 | $3K |
| D0330 | Panoramic radiographic image | <1% | 19 | 19 | $720.00 |
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 officialABRAHAM, KALIL (OWNER)