Daleville Dental, LLC

Daleville Dental, LLC was paid $4K by Medicaid between Jan 2018 and Aug 2022, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 42% of everything it billed.

33Billing provider infoDALEVILLE DENTAL, LLC
DALEVILLE, AL 36322

33aNPI1760477251assigned 09/12/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$4K

24GClaims318

24DCodes billed4

24AFirst – last monthJan 2018 – Aug 2022

Compared with peers

Next to other General Practice Dentistry providers in Alabama

Rank by total paid#223 of 293

Median peer was paid$31K

This provider vs. median0.1×

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
2018	72	$711.00
2019	67	$990.00
2020	42	$666.00
2021	123	$1K
2022	14	$237.60

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	42%	106	92	$2K
D1208	Topical application of fluoride, excluding varnish	30%	104	89	$1K
D1999		19%	94	75	$760.00
D1120	Dental cleaning, childProphylaxis - child	8.6%	14	14	$336.00

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 officialWALTERS, JAY (OWNER)