PROFESSIONAL DENTAL ALLIANCE OF MICHIGAN, LLC
NPI: 1912389842
· HAZEL PARK, MI 48030
· 122300000X
$1.11M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
9,176 |
$292K |
| 2019 |
5,352 |
$150K |
| 2020 |
5,753 |
$173K |
| 2021 |
5,370 |
$183K |
| 2022 |
4,256 |
$118K |
| 2023 |
3,076 |
$140K |
| 2024 |
1,318 |
$59K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
2,014 |
999 |
$192K |
| D7210 |
|
1,532 |
886 |
$106K |
| D0210 |
|
2,314 |
2,266 |
$100K |
| D0140 |
|
3,848 |
3,779 |
$95K |
| D7140 |
|
1,835 |
532 |
$91K |
| D2393 |
|
821 |
491 |
$89K |
| D1110 |
|
2,256 |
2,247 |
$85K |
| D0150 |
|
2,532 |
2,519 |
$70K |
| D0120 |
|
2,576 |
2,564 |
$54K |
| D0220 |
|
5,073 |
4,929 |
$49K |
| D0274 |
|
1,590 |
1,584 |
$37K |
| D0230 |
|
5,630 |
3,053 |
$35K |
| D2391 |
|
456 |
239 |
$30K |
| D2394 |
|
136 |
93 |
$18K |
| D1120 |
|
371 |
371 |
$15K |
| D0330 |
|
348 |
348 |
$14K |
| D4355 |
|
271 |
269 |
$10K |
| D5110 |
|
12 |
12 |
$6K |
| D1206 |
|
257 |
257 |
$5K |
| D2332 |
|
62 |
28 |
$4K |
| D2950 |
|
27 |
24 |
$3K |
| D1351 |
|
96 |
26 |
$3K |
| D1208 |
|
139 |
139 |
$2K |
| D2330 |
|
20 |
12 |
$1K |
| D0270 |
|
56 |
56 |
$693.98 |
| D0272 |
|
13 |
13 |
$256.70 |
| D7510 |
|
16 |
12 |
$182.06 |