Dhda WFD, LLC

Dhda WFD, LLC was paid $39K by Medicaid between Jun 2021 and Sep 2023, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 45% of everything it billed.

33Billing provider infoDHDA WFD, LLC
COLUMBUS, IN 47201

33aNPI1205418258assigned 04/28/2021

33bProvider typeGeneral Practice Dentistry

28Total paid$39K

24GClaims1,982

24DCodes billed6

24AFirst – last monthJun 2021 – Sep 2023

Compared with peers

Next to other General Practice Dentistry providers in Indiana

Rank by total paid#411 of 723

Median peer was paid$60K

This provider vs. median0.6×

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
2021	380	$6K
2022	945	$18K
2023	657	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	45%	573	427	$18K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	33%	816	610	$13K
D0274	Bitewings - four radiographic images	11%	188	143	$4K
D1208	Topical application of fluoride, excluding varnish	8.5%	358	284	$3K
D1120	Dental cleaning, childProphylaxis - child	1.7%	31	26	$649.29
D0220	Intraoral - periapical first radiographic image	<1%	16	12	$82.70

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 officialLAVELLE, PAUL (SOLE MEMBER OF DHDA PROVIDERCO PLLC)

Parent organizationDHDA PROVIDERCO, PLLC