Dental
Professional Dental Alliance of Indiana, LLC
Professional Dental Alliance of Indiana, LLC was paid $17.48M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 14% of everything it billed.
33Billing provider infoPROFESSIONAL DENTAL ALLIANCE OF INDIANA, LLC
NEW CASTLE, PA 16101
NEW CASTLE, PA 16101
33aNPI1013372903assigned 12/21/2015
33bProvider typeDentist
28Total paid$17.48M
24GClaims370,039
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#1 of 683
Median peer was paid$34K
This provider vs. median508×
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 | 77,071 | $2.42M | |
| 2019 | 72,312 | $3.75M | |
| 2020 | 60,793 | $2.97M | |
| 2021 | 57,984 | $3.17M | |
| 2022 | 45,744 | $2.38M | |
| 2023 | 37,532 | $1.90M | |
| 2024incomplete | 18,603 | $886K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 14% | 17,851 | 6,320 | $2.50M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.7% | 18,888 | 9,255 | $1.17M |
| D7140 | Extraction, erupted tooth or exposed root | 6.7% | 16,511 | 4,646 | $1.17M |
| D0210 | Intraoral - complete series of radiographic images | 5.9% | 21,824 | 16,533 | $1.03M |
| D1110 | Prophylaxis - adult | 4.9% | 22,788 | 19,140 | $863K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 26,538 | 21,737 | $827K |
| D7240 | Removal of impacted tooth - completely bony | 4.7% | 3,538 | 1,013 | $818K |
| D7250 | 4.3% | 4,274 | 1,400 | $759K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.6% | 8,290 | 4,675 | $621K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 12,728 | 6,631 | $609K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.0% | 29,576 | 25,396 | $526K |
| D0140 | Limited oral evaluation - problem focused | 3.0% | 16,368 | 13,464 | $519K |
42 more codes
| D2335 | 2.9% | 3,768 | $511K | |
| D5110 | 2.6% | 1,568 | $463K | |
| D1351 | Sealant - per tooth | 2.6% | 21,249 | $452K |
| D7230 | 2.3% | 1,739 | $400K | |
| D0330 | Panoramic radiographic image | 2.3% | 10,888 | $397K |
| D0274 | Bitewings - four radiographic images | 2.2% | 14,300 | $381K |
| D2332 | 2.1% | 3,929 | $367K | |
| D4341 | 2.1% | 4,082 | $359K | |
| D1206 | Topical application of fluoride varnish | 1.9% | 24,305 | $341K |
| D1120 | Dental cleaning, child | 1.9% | 14,223 | $331K |
| D5120 | 1.9% | 1,121 | $324K | |
| D4346 | 1.5% | 2,652 | $267K | |
| D2331 | 1.5% | 3,273 | $259K | |
| D2394 | 1.3% | 2,478 | $221K | |
| D2330 | 1.2% | 3,089 | $211K | |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 22,034 | $194K |
| D0272 | Bitewings - two radiographic images | <1% | 8,195 | $138K |
| D4910 | <1% | 1,857 | $121K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 5,068 | $88K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 10,658 | $76K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 3,369 | $35K |
| D4342 | <1% | 1,435 | $34K | |
| D0270 | <1% | 1,216 | $20K | |
| D7220 | <1% | 90 | $16K | |
| D7111 | <1% | 362 | $14K | |
| D5212 | <1% | 61 | $10K | |
| D5130 | <1% | 57 | $10K | |
| D4355 | <1% | 177 | $10K | |
| D5140 | <1% | 51 | $9K | |
| D7310 | <1% | 75 | $6K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 85 | $5K |
| D5750 | <1% | 14 | $2K | |
| D1352 | <1% | 48 | $1K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 24 | $1K |
| D0240 | <1% | 67 | $758.50 | |
| D9920 | <1% | 22 | $187.00 | |
| D1999 | <1% | 39 | $40.00 | |
| D0431 | 0% | 2,577 | $0.00 | |
| D4921 | 0% | 461 | $0.00 | |
| D2950 | 0% | 42 | $0.00 | |
| D2740 | Crown - porcelain/ceramic | 0% | 19 | $0.00 |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 98 | $0.00 |
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 officialMATTA, ANDREW (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Pda Ortho Specialty | New Castle, PA | $19.00M |
| Professional Dental Alliance of Defiance, LLC | Defiance, OH | $139K |
| Professional Dental Alliance of Hopewell LLC | Dayton, OH | $79K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.