Dental
Professional Dental Alliance of Michigan, LLC
Professional Dental Alliance of Michigan, LLC was paid $1.82M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.
33Billing provider infoPROFESSIONAL DENTAL ALLIANCE OF MICHIGAN, LLC
GARDEN CITY, MI 48135
GARDEN CITY, MI 48135
33aNPI1851763387assigned 10/23/2015
33bProvider typeDentist
28Total paid$1.82M
24GClaims55,893
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#46 of 1,033
Median peer was paid$15K
This provider vs. median121×
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 | 4,745 | $104K | |
| 2019 | 6,059 | $146K | |
| 2020 | 7,056 | $157K | |
| 2021 | 8,947 | $237K | |
| 2022 | 10,055 | $315K | |
| 2023 | 9,797 | $483K | |
| 2024incomplete | 9,234 | $373K |
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 | 17% | 3,685 | 2,406 | $307K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 12% | 3,822 | 2,073 | $217K |
| D7140 | Extraction, erupted tooth or exposed root | 8.4% | 3,114 | 1,185 | $152K |
| D1110 | Prophylaxis - adult | 8.2% | 3,945 | 3,927 | $150K |
| D0140 | Limited oral evaluation - problem focused | 7.4% | 4,855 | 4,689 | $134K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.6% | 1,114 | 877 | $120K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.1% | 3,830 | 3,817 | $111K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.6% | 4,577 | 4,557 | $102K |
| D0330 | Panoramic radiographic image | 5.5% | 2,510 | 2,496 | $99K |
| D0274 | Bitewings - four radiographic images | 5.1% | 4,153 | 4,134 | $92K |
| D0220 | Intraoral - periapical first radiographic image | 4.4% | 8,140 | 7,838 | $80K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.4% | 7,179 | 6,205 | $44K |
11 more codes
| D1120 | Dental cleaning, child | 2.2% | 990 | $40K |
| D0210 | Intraoral - complete series of radiographic images | 2.1% | 1,171 | $39K |
| D1206 | Topical application of fluoride varnish | 1.7% | 1,431 | $31K |
| D4341 | 1.5% | 198 | $27K | |
| D4910 | 1.3% | 311 | $24K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.3% | 441 | $24K |
| D7250 | <1% | 95 | $7K | |
| D2331 | <1% | 50 | $4K | |
| D2330 | <1% | 78 | $4K | |
| D4355 | <1% | 78 | $3K | |
| D0272 | Bitewings - two radiographic images | <1% | 126 | $3K |
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 officialHALABU, SHAKIB (OWNER)
| Provider | Location | Paid |
|---|---|---|
| The Dental Group,p.C | Mount Clemens, MI | $4.56M |
| Advanced Warren Dental PC | Warren, MI | $4.35M |
| Canton Family Dentistry | Canton Township, MI | $3.72M |
| Oakland Family Dentistry | West Bloomfield, MI | $1.99M |
| Shelby Dental Care | Shelby Township, MI | $1.75M |
| Professional Dental Alliance of Michigan, LLC | Hazel Park, MI | $1.11M |
| Evergreen Dental Care | Southfield, MI | $556K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.