Dental
Whitehall Dental Assoc
Whitehall Dental Assoc was paid $189K by Medicaid between Sep 2019 and Dec 2024, across 13 billing codes. Its largest line is D9920, — 56% of everything it billed.
33Billing provider infoWHITEHALL DENTAL ASSOC
WHITEHALL, PA 18052
WHITEHALL, PA 18052
33aNPI1639168701assigned 10/20/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$189K
24GClaims5,446
24DCodes billed13
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#171 of 847
Median peer was paid$37K
This provider vs. median5.1×
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 | |
|---|---|---|---|
| 2019 | 1,302 | $39K | |
| 2020 | 896 | $37K | |
| 2021 | 1,144 | $51K | |
| 2024incomplete | 2,104 | $61K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9920 | 56% | 903 | 854 | $106K | |
| D1110 | Prophylaxis - adult | 17% | 976 | 962 | $33K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,031 | 1,019 | $21K |
| D0272 | Bitewings - two radiographic images | 4.9% | 624 | 614 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.9% | 786 | 768 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 901 | 867 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.1% | 83 | 48 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 15 | 15 | $967.40 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 17 | 12 | $955.40 |
| D9110 | <1% | 15 | 14 | $411.75 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 13 | 12 | $226.72 |
| D1330 | <1% | 39 | 38 | $215.40 |
1 more codes
| D1999 | 0% | 43 | $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 officialYACOUB, NIDAL (OWNER/DENTIST)