Dental
Professional Dental Alliance of Defiance, LLC
Professional Dental Alliance of Defiance, LLC was paid $139K by Medicaid between Sep 2024 and Dec 2024, across 17 billing codes. Its largest line is D4341, — 19% of everything it billed.
33Billing provider infoPROFESSIONAL DENTAL ALLIANCE OF DEFIANCE, LLC
DEFIANCE, OH 43512
DEFIANCE, OH 43512
33aNPI1679093330assigned 06/23/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$139K
24GClaims1,857
24DCodes billed17
24AFirst – last monthSep 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Ohio
Rank by total paid#278 of 870
Median peer was paid$40K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2024incomplete | 1,857 | $139K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D4341 | 19% | 107 | 39 | $27K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 302 | 272 | $20K |
| D0210 | Intraoral - complete series of radiographic images | 13% | 125 | 115 | $19K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.7% | 108 | 49 | $13K |
| D0330 | Panoramic radiographic image | 8.2% | 99 | 86 | $11K |
| D7140 | Extraction, erupted tooth or exposed root | 7.2% | 67 | 33 | $10K |
| D1351 | Sealant - per tooth | 6.7% | 232 | 41 | $9K |
| D0140 | Limited oral evaluation - problem focused | 5.5% | 135 | 119 | $8K |
| D1110 | Prophylaxis - adult | 3.5% | 67 | 64 | $5K |
| D1206 | Topical application of fluoride varnish | 3.1% | 121 | 113 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.9% | 87 | 83 | $4K |
| D0274 | Bitewings - four radiographic images | 1.6% | 63 | 56 | $2K |
5 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 178 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 14 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 50 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 86 | $930.18 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 16 | $837.77 |
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 organizationP O BOX 713770, CINCINNATI, OH 45271
| 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 Hopewell LLC | Dayton, OH | $79K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.