Dental
Pda Holdings, LLC
Pda Holdings, LLC was paid $2.78M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 20% of everything it billed.
33Billing provider infoPDA HOLDINGS, LLC
PHOENIX, AZ 85016
PHOENIX, AZ 85016
33aNPI1134345937assigned 04/18/2007
33bProvider typePediatric Dentist
28Total paid$2.78M
24GClaims300,200
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#10 of 223
Median peer was paid$24K
This provider vs. median118×
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 | 50,871 | $454K | |
| 2019 | 54,874 | $428K | |
| 2020 | 43,877 | $273K | |
| 2021 | 52,642 | $456K | |
| 2022 | 42,838 | $524K | |
| 2023 | 36,263 | $433K | |
| 2024incomplete | 18,835 | $207K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20% | 21,447 | 11,481 | $543K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 28,565 | 27,729 | $341K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.5% | 33,795 | 32,821 | $262K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.3% | 11,034 | 6,977 | $231K |
| D1206 | Topical application of fluoride varnish | 7.7% | 36,456 | 35,371 | $214K |
| D0274 | Bitewings - four radiographic images | 6.2% | 19,754 | 19,156 | $173K |
| D0220 | Intraoral - periapical first radiographic image | 5.8% | 40,187 | 38,773 | $162K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.8% | 37,057 | 32,909 | $133K |
| D1110 | Prophylaxis - adult | 4.8% | 9,062 | 8,812 | $132K |
| D0272 | Bitewings - two radiographic images | 3.1% | 13,411 | 13,013 | $86K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.0% | 2,719 | 2,043 | $84K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 5,088 | 4,932 | $75K |
19 more codes
| D0140 | Limited oral evaluation - problem focused | 2.2% | 5,320 | $60K |
| D1351 | Sealant - per tooth | 2.2% | 7,729 | $60K |
| D0330 | Panoramic radiographic image | 2.1% | 4,242 | $58K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.1% | 8,091 | $57K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.2% | 861 | $32K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 582 | $23K |
| D7111 | <1% | 907 | $17K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 366 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,384 | $10K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 137 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 307 | $2K |
| D2332 | <1% | 41 | $1K | |
| D0270 | <1% | 356 | $1K | |
| D9248 | <1% | 29 | $404.92 | |
| D3120 | <1% | 74 | $359.16 | |
| D1354 | <1% | 77 | $317.64 | |
| D0601 | 0% | 3,133 | $0.00 | |
| D0602 | 0% | 2,256 | $0.00 | |
| D0603 | 0% | 5,733 | $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 officialTRUJILLO, AMANDA (CREDENTIALING MANAGER)