Clinic
Livernois Dental Care PLLC
Livernois Dental Care PLLC was paid $979K by Medicaid between Dec 2019 and Dec 2024, across 24 billing codes. Its largest line is D2752, — 17% of everything it billed.
33Billing provider infoLIVERNOIS DENTAL CARE PLLC
DETROIT, MI 48221
DETROIT, MI 48221
33aNPI1619533171assigned 05/10/2019
33bProvider typeDental Clinic/Center
28Total paid$979K
24GClaims20,152
24DCodes billed24
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#44 of 431
Median peer was paid$24K
This provider vs. median41×
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 | |
|---|---|---|---|
| 2019 | 12 | $540.46 | |
| 2020 | 324 | $10K | |
| 2021 | 2,987 | $102K | |
| 2022 | 5,989 | $204K | |
| 2023 | 5,923 | $404K | |
| 2024incomplete | 4,917 | $258K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2752 | 17% | 297 | 216 | $170K | |
| D0330 | Panoramic radiographic image | 11% | 2,538 | 2,526 | $109K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 10% | 1,722 | 782 | $99K |
| D1110 | Prophylaxis - adult | 9.2% | 2,325 | 2,314 | $90K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.2% | 1,054 | 619 | $90K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.1% | 3,001 | 2,981 | $89K |
| D7140 | Extraction, erupted tooth or exposed root | 7.5% | 1,457 | 729 | $74K |
| D2950 | 4.9% | 335 | 252 | $48K | |
| D1120 | Dental cleaning, childProphylaxis - child | 2.9% | 719 | 718 | $28K |
| D1351 | Sealant - per tooth | 2.4% | 849 | 113 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.2% | 912 | 908 | $22K |
| D0140 | Limited oral evaluation - problem focused | 2.2% | 641 | 636 | $22K |
12 more codes
| D1208 | Topical application of fluoride, excluding varnish | 1.9% | 849 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 1,244 | $18K |
| D0210 | Intraoral - complete series of radiographic images | 1.7% | 474 | $17K |
| D0274 | Bitewings - four radiographic images | 1.4% | 459 | $14K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.2% | 107 | $12K |
| D3320 | 1.2% | 27 | $11K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 862 | $7K |
| D4341 | <1% | 72 | $7K | |
| D0180 | <1% | 133 | $5K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 31 | $3K |
| D4355 | <1% | 15 | $1K | |
| D0272 | Bitewings - two radiographic images | <1% | 29 | $704.79 |
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 officialCHISELOM, LISA (OFFICE MANAGER)