Clinic
Whitehall Dental Group LLC
Whitehall Dental Group LLC was paid $66K by Medicaid between May 2021 and Dec 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.
33Billing provider infoWHITEHALL DENTAL GROUP LLC
WHITEHALL, PA 18052
WHITEHALL, PA 18052
33aNPI1710463526assigned 07/15/2018
33bProvider typeDental Clinic/Center
28Total paid$66K
24GClaims2,758
24DCodes billed14
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Pennsylvania
Rank by total paid#41 of 78
Median peer was paid$70K
This provider vs. median0.9×
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 | 13 | $100.00 | |
| 2024incomplete | 2,745 | $66K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 24% | 441 | 435 | $16K |
| D0274 | Bitewings - four radiographic images | 21% | 496 | 486 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 335 | 335 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 228 | 228 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 6.1% | 513 | 495 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.9% | 54 | 34 | $3K |
| D0330 | Panoramic radiographic image | 4.8% | 85 | 85 | $3K |
| D1206 | Topical application of fluoride varnish | 4.6% | 170 | 170 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.7% | 81 | 81 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 231 | 226 | $2K |
| D9920 | 1.9% | 13 | 13 | $1K | |
| D2332 | 1.7% | 16 | 12 | $1K |
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 officialPATEL, JIGNESH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Gold Star Pediatrics PA | North Port, FL | $344K |
| Lehighton Family Dentistry LLC | Lehighton, PA | $285K |
| Family Medical Care of ST Augustine PA | St Augustine, FL | $64K |
| J Patel DDS INC | San Fernando, CA | $30K |
| Brunswick Spine and Physical Therapy LLC | North Brunswick, NJ | $36.43 |
| Harigopal INC | Port Charlotte, FL | $0.00 |
| Jignesh LLC | Perry, FL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.