Vintage L Delahoussaye DDS Apdc

Vintage L Delahoussaye DDS Apdc was paid $16K by Medicaid between Mar 2023 and Oct 2024, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 40% of everything it billed.

33Billing provider infoVINTAGE L DELAHOUSSAYE DDS APDC
LAFAYETTE, LA 70503

33aNPI1407364730assigned 01/22/2018

33bProvider typeDental Clinic/Center

28Total paid$16K

24GClaims630

24DCodes billed7

24AFirst – last monthMar 2023 – Oct 2024

Compared with peers

Next to other Dental Clinic/Center providers in Louisiana

Rank by total paid#44 of 59

Median peer was paid$90K

This provider vs. median0.2×

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
2023	341	$7K
2024incomplete	289	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	40%	302	248	$6K
D1110	Prophylaxis - adult	39%	179	153	$6K
D1206	Topical application of fluoride varnish	8.1%	40	40	$1K
D0272	Bitewings - two radiographic images	5.8%	53	39	$944.51
D1208	Topical application of fluoride, excluding varnish	3.9%	27	27	$639.87
D1120	Dental cleaning, childProphylaxis - child	2.8%	14	14	$455.26
D0220	Intraoral - periapical first radiographic image	1.1%	15	13	$179.01

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 officialLEBLANC, VINTAGE (OWNER/PRESIDENT)