Dental
Professional Dental Alliance of Michigan, LLC
Professional Dental Alliance of Michigan, LLC was paid $1.06M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 16% of everything it billed.
33Billing provider infoPROFESSIONAL DENTAL ALLIANCE OF MICHIGAN, LLC
CENTER LINE, MI 48015
CENTER LINE, MI 48015
33aNPI1942740337assigned 03/03/2017
33bProvider typeDentist
28Total paid$1.06M
24GClaims24,034
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#69 of 1,033
Median peer was paid$15K
This provider vs. median70×
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 | 638 | $11K | |
| 2019 | 2,355 | $75K | |
| 2020 | 4,039 | $121K | |
| 2021 | 3,905 | $125K | |
| 2022 | 2,041 | $44K | |
| 2023 | 2,229 | $138K | |
| 2024incomplete | 8,827 | $545K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 16% | 322 | 252 | $170K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 1,367 | 836 | $122K |
| D0210 | Intraoral - complete series of radiographic images | 8.2% | 2,028 | 1,969 | $87K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.0% | 2,526 | 2,519 | $75K |
| D1110 | Prophylaxis - adult | 6.6% | 1,819 | 1,817 | $70K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6.6% | 1,040 | 628 | $70K |
| D2950 | 6.1% | 524 | 417 | $65K | |
| D7140 | Extraction, erupted tooth or exposed root | 5.7% | 1,249 | 456 | $60K |
| D0140 | Limited oral evaluation - problem focused | 5.6% | 1,963 | 1,919 | $59K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.2% | 502 | 349 | $55K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.4% | 468 | 335 | $36K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.3% | 1,619 | 1,615 | $34K |
14 more codes
| D0220 | Intraoral - periapical first radiographic image | 3.1% | 3,027 | $33K |
| D0274 | Bitewings - four radiographic images | 2.8% | 1,181 | $30K |
| D4341 | 2.0% | 172 | $21K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 2,874 | $19K |
| D1120 | Dental cleaning, child | 1.3% | 350 | $14K |
| D4910 | 1.1% | 173 | $11K | |
| D1206 | Topical application of fluoride varnish | <1% | 369 | $9K |
| D0330 | Panoramic radiographic image | <1% | 250 | $9K |
| D2332 | <1% | 32 | $3K | |
| D4355 | <1% | 89 | $3K | |
| D4346 | <1% | 34 | $2K | |
| D4342 | <1% | 32 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 12 | $295.00 |
| D0272 | Bitewings - two radiographic images | <1% | 12 | $224.00 |
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 officialJONES, MARIA (CREDENTIALING SPECIALIST)