Dental
Professional Dental Alliance of Newark, LLC
Professional Dental Alliance of Newark, LLC was paid $10K by Medicaid between Sep 2024 and Nov 2024, across 5 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 55% of everything it billed.
33Billing provider infoPROFESSIONAL DENTAL ALLIANCE OF NEWARK, LLC
NEWARK, OH 43055
NEWARK, OH 43055
33aNPI1740754894assigned 01/11/2019
33bProvider typeDentist
28Total paid$10K
24GClaims165
24DCodes billed5
24AFirst – last monthSep 2024 – Nov 2024
Compared with peers
Next to other Dentist providers in Ohio
Rank by total paid#500 of 745
Median peer was paid$38K
This provider vs. median0.3×
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 | 165 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 55% | 54 | 26 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 31% | 63 | 63 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 12 | 12 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.7% | 20 | 12 | $175.96 |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 16 | 16 | $163.67 |
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 officialKURTZ, AMANDA (LEAD CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Professional Dental Alliance, LLC | Middleburg Heights, OH | $54.17M |
| Professional Dental Alliance of Warren, LLC | Warren, OH | $2.51M |
| Professional Dental Alliance of Martins Ferry, LLC | Bellaire, OH | $2.48M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.