Livonia Laser Dentistry

Livonia Laser Dentistry was paid $188K by Medicaid between Dec 2018 and Nov 2024, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 27% of everything it billed.

33Billing provider infoLIVONIA LASER DENTISTRY
LIVONIA, MI 48150

33aNPI1811476955assigned 08/09/2018

33bProvider typeGeneral Practice Dentistry

28Total paid$188K

24GClaims5,572

24DCodes billed16

24AFirst – last monthDec 2018 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#261 of 1,554

Median peer was paid$15K

This provider vs. median13×

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	16	$430.40
2019	1,457	$37K
2020	1,269	$37K
2021	941	$40K
2022	475	$17K
2023	809	$40K
2024incomplete	605	$16K

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	27%	648	307	$51K
D1110	Prophylaxis - adult	22%	1,094	1,078	$42K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	12%	256	135	$23K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	10%	857	853	$19K
D0220	Intraoral - periapical first radiographic image	5.6%	913	819	$11K
D0150	Comprehensive oral evaluation - new or established patient	5.2%	390	378	$10K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.7%	233	104	$9K
D0274	Bitewings - four radiographic images	2.8%	386	377	$5K
D0330	Panoramic radiographic image	2.8%	185	180	$5K
D0210	Intraoral - complete series of radiographic images	2.7%	85	83	$5K
D0140	Limited oral evaluation - problem focused	1.5%	108	103	$3K
D0230	Intraoral - periapical each additional radiographic image	1.3%	284	143	$2K

4 more codes

D1120	Dental cleaning, child	<1%	50	$2K
D1208	Topical application of fluoride, excluding varnish	<1%	25	$589.69
D1206	Topical application of fluoride varnish	<1%	25	$536.00
D0180		<1%	33	$135.32

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 officialMANSOUR, FADY (ADMIN)