Clinic
Dental House - Waterford, PLLC
Dental House - Waterford, PLLC was paid $1.46M by Medicaid between Jul 2020 and Dec 2024, across 25 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 20% of everything it billed.
33Billing provider infoDENTAL HOUSE - WATERFORD, PLLC
WATERFORD TWP, MI 48327
WATERFORD TWP, MI 48327
33aNPI1700418555assigned 02/10/2020
33bProvider typeDental Clinic/Center
28Total paid$1.46M
24GClaims21,057
24DCodes billed25
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#32 of 431
Median peer was paid$24K
This provider vs. median61×
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 | 376 | $20K | |
| 2021 | 1,559 | $82K | |
| 2022 | 2,273 | $74K | |
| 2023 | 5,933 | $348K | |
| 2024incomplete | 10,916 | $940K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 20% | 393 | 236 | $299K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 1,591 | 780 | $207K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 13% | 970 | 315 | $193K |
| D1351 | Sealant - per tooth | 6.4% | 2,941 | 458 | $94K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.1% | 1,444 | 1,441 | $75K |
| D2950 | 4.2% | 358 | 268 | $62K | |
| D0140 | Limited oral evaluation - problem focused | 4.1% | 1,213 | 1,187 | $61K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.1% | 589 | 333 | $59K |
| D1110 | Prophylaxis - adult | 3.8% | 1,014 | 1,011 | $56K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.3% | 1,155 | 1,154 | $48K |
| D0210 | Intraoral - complete series of radiographic images | 3.2% | 662 | 647 | $46K |
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 2,276 | 2,239 | $40K |
13 more codes
| D0330 | Panoramic radiographic image | 2.7% | 610 | $39K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.5% | 232 | $37K |
| D1206 | Topical application of fluoride varnish | 2.5% | 1,531 | $37K |
| D0120 | Dental checkup, returning patient | 2.0% | 1,003 | $30K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 2,204 | $22K |
| D7261 | 1.5% | 53 | $21K | |
| D0274 | Bitewings - four radiographic images | 1.4% | 607 | $20K |
| D9243 | <1% | 71 | $9K | |
| D9239 | <1% | 16 | $3K | |
| D2332 | <1% | 19 | $3K | |
| D2331 | <1% | 15 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 42 | $845.75 |
| D0270 | <1% | 48 | $615.18 |
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 officialATTALLA, RAMY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Dental House - Ann Arbor PLLC | Ann Arbor, MI | $1.14M |
| Dental House - West Bloomfield | West Bloomfield, MI | $132K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.