PROFESSIONAL DENTAL ALLIANCE OF TX 43004 PLLC

NPI: 1093329534 · TYLER, TX 75703 · General Practice Dentistry · NPI assigned 09/02/2020

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official HOWARD, LAUREN controls 12+ related entities in our dataset. Read more

$6K

Total Medicaid Paid

479

Total Claims

443

Beneficiaries

Codes Billed

2021-12

First Month

2022-03

Last Month

Provider Details

Authorized Official	HOWARD, LAUREN (CREDENTIALING SPECIALIST)
NPI Enumeration Date	09/02/2020

Other providers sharing the same authorized official: HOWARD, LAUREN

Provider	City	State	Total Paid
PROFESSIONAL DENTAL ALLIANCE OF STEUBENVILLE, LLC	STEUBENVILLE	OH	$3.77M
PROFESSIONAL DENTAL ALLIANCE OF DENNISON, LLC	DENNISON	OH	$2.45M
PROFESSIONAL DENTAL ALLIANCE OF NEWCOMERSTOWN, LLC	NEWCOMERSTOWN	OH	$1.26M
PROFESSIONAL DENTAL ALLIANCE OF HOMESTEAD, PLLC	HOMESTEAD	FL	$793K
PROFESSIONAL ORAL SURGERY ALLIANCE OF NEW JERSEY, LLC	FORT LEE	NJ	$614K
PROFESSIONAL DENTAL ALLIANCE OF SHADYSIDE, LLC	SHADYSIDE	OH	$579K
PROFESSIONAL DENTAL ALLIANCE OF EAST LIVERPOOL, LLC	EAST LIVERPOOL	OH	$417K
PROFESSIONAL DENTAL ALLIANCE OF STERLING HEIGHTS, LLC	STERLING HEIGHTS	MI	$217K
PROFESSIONAL DENTAL ALLIANCE OF WOODHAVEN, LLC	WOODHAVEN	MI	$163K
PROFESSIONAL DENTAL ALLIANCE OF HOMESTEAD WHITAKER, LLC	HOMESTEAD	PA	$61K
PROFESSIONAL DENTAL ALLIANCE OF WEST KENDALL, PLLC	MIAMI	FL	$8K
PROFESSIONAL DENTAL ALLIANCE OF MUSKEGON, PLLC	NORTON SHORES	MI	$3K

Year	Claims	Total Paid
2021	108	$157.11
2022	371	$6K

Code	Description	Claims	Beneficiaries	Total Paid
D1110	Prophylaxis - adult	63	58	$2K
D1206	Topical application of fluoride varnish	104	96	$867.30
D0274	Bitewings - four radiographic images	47	40	$827.18
D0120	Periodic oral evaluation - established patient	50	46	$778.95
D1120	Prophylaxis - child	20	19	$661.50
D0220	Intraoral - periapical first radiographic image	85	80	$487.32
D0230	Intraoral - periapical each additional radiographic image	54	50	$276.24
D0602		13	12	$0.00
D0603		43	42	$0.00