Dental
Comfort Dental Spa Livonia PLLC
Comfort Dental Spa Livonia PLLC was paid $8K by Medicaid between Jun 2021 and Oct 2024, across 7 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 44% of everything it billed.
33Billing provider infoCOMFORT DENTAL SPA LIVONIA PLLC
LIVONIA, MI 48154
LIVONIA, MI 48154
33aNPI1669827812assigned 04/25/2016
33bProvider typeDentist
28Total paid$8K
24GClaims445
24DCodes billed7
24AFirst – last monthJun 2021 – Oct 2024
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#628 of 1,033
Median peer was paid$15K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2021 | 74 | $2K | |
| 2022 | 214 | $4K | |
| 2024incomplete | 157 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 44% | 205 | 190 | $4K |
| D1206 | Topical application of fluoride varnish | 17% | 61 | 61 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 101 | 76 | $986.73 |
| D1110 | Prophylaxis - adult | 9.7% | 14 | 14 | $770.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.6% | 27 | 27 | $769.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.1% | 12 | 12 | $564.00 |
| D0350 | 0% | 25 | 25 | $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 officialRAZVI, MIR MOHSIN (DIRECTOR)