Dental
Professional Dental Alliance of Hopewell LLC
Professional Dental Alliance of Hopewell LLC was paid $79K by Medicaid between Mar 2021 and Sep 2021, across 14 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 37% of everything it billed.
33Billing provider infoPROFESSIONAL DENTAL ALLIANCE OF HOPEWELL LLC
DAYTON, OH 45432
DAYTON, OH 45432
33aNPI1295273175assigned 02/10/2017
33bProvider typeDentist
28Total paid$79K
24GClaims2,009
24DCodes billed14
24AFirst – last monthMar 2021 – Sep 2021
Compared with peers
Next to other Dentist providers in Ohio
Rank by total paid#302 of 745
Median peer was paid$38K
This provider vs. median2.1×
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 | 2,009 | $79K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 37% | 493 | 457 | $29K |
| D0150 | Comprehensive oral evaluation - new or established patient | 21% | 550 | 536 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.8% | 95 | 62 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | 7.4% | 91 | 39 | $6K |
| D1110 | Prophylaxis - adult | 5.9% | 130 | 126 | $5K |
| D0140 | Limited oral evaluation - problem focused | 5.3% | 150 | 144 | $4K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.2% | 50 | 27 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 59 | 38 | $3K |
| D1206 | Topical application of fluoride varnish | 1.8% | 101 | 101 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.6% | 60 | 60 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 128 | 128 | $884.80 |
| D0330 | Panoramic radiographic image | <1% | 14 | 14 | $572.80 |
2 more codes
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)
Parent organizationPROFESSIONAL DENTAL ALLIANCE, LLC
| Provider | Location | Paid |
|---|---|---|
| Pda Ortho Specialty | New Castle, PA | $19.00M |
| Professional Dental Alliance of Indiana, LLC | New Castle, PA | $17.48M |
| Professional Dental Alliance of Defiance, LLC | Defiance, OH | $139K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.