Professional Dental Alliance of TX 43004 PLLC
Professional Dental Alliance of TX 43004 PLLC was paid $6K by Medicaid between Dec 2021 and Mar 2022, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 36% of everything it billed.
TYLER, TX 75703
Next to other General Practice Dentistry providers in Texas
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 108 | $157.11 | |
| 2022 | 371 | $6K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 36% | 63 | 58 | $2K |
| D1206 | Topical application of fluoride varnish | 14% | 104 | 96 | $867.30 |
| D0274 | Bitewings - four radiographic images | 14% | 47 | 40 | $827.18 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 50 | 46 | $778.95 |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 20 | 19 | $661.50 |
| D0220 | Intraoral - periapical first radiographic image | 8.0% | 85 | 80 | $487.32 |
| D0230 | Intraoral - periapical each additional radiographic image | 4.5% | 54 | 50 | $276.24 |
| D0602 | 0% | 13 | 12 | $0.00 | |
| D0603 | 0% | 43 | 42 | $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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.