Dental
Pda Holdco, LLC
Pda Holdco, LLC was paid $1.51M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoPDA HOLDCO, LLC
MESA, AZ 85202
MESA, AZ 85202
33aNPI1821369455assigned 01/12/2012
33bProvider typeDentist
28Total paid$1.51M
24GClaims169,667
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Arizona
Rank by total paid#9 of 468
Median peer was paid$686.85
This provider vs. median2,192×
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 | 22,811 | $188K | |
| 2019 | 27,766 | $218K | |
| 2020 | 26,148 | $177K | |
| 2021 | 33,090 | $270K | |
| 2022 | 31,001 | $328K | |
| 2023 | 17,215 | $193K | |
| 2024incomplete | 11,636 | $132K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 19,072 | 18,392 | $246K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 7,762 | 4,143 | $217K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10.0% | 18,735 | 18,132 | $150K |
| D1206 | Topical application of fluoride varnish | 7.5% | 16,904 | 16,288 | $113K |
| D0220 | Intraoral - periapical first radiographic image | 7.2% | 24,614 | 23,638 | $109K |
| D0274 | Bitewings - four radiographic images | 5.7% | 10,068 | 9,741 | $86K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.2% | 20,905 | 19,470 | $78K |
| D0272 | Bitewings - two radiographic images | 4.3% | 9,068 | 8,711 | $64K |
| D1110 | Prophylaxis - adult | 4.2% | 4,545 | 4,426 | $64K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.0% | 4,116 | 3,981 | $60K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 2,005 | 1,330 | $53K |
| D0140 | Limited oral evaluation - problem focused | 3.0% | 3,328 | 3,187 | $45K |
20 more codes
| D1351 | Sealant - per tooth | 2.5% | 4,313 | $37K |
| D1208 | Topical application of fluoride, excluding varnish | 2.3% | 6,912 | $34K |
| D0330 | Panoramic radiographic image | 2.0% | 2,539 | $30K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.9% | 4,037 | $29K |
| D2751 | Crown - porcelain fused to predominantly base metal | 1.5% | 182 | $23K |
| D7140 | Extraction, erupted tooth or exposed root | 1.5% | 966 | $22K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.4% | 620 | $21K |
| D2954 | <1% | 136 | $8K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 447 | $5K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 12 | $3K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 74 | $2K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 39 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 167 | $1K |
| D2950 | <1% | 29 | $1K | |
| D1354 | <1% | 113 | $856.08 | |
| D9248 | <1% | 25 | $543.87 | |
| D0270 | <1% | 68 | $241.72 | |
| D0602 | 0% | 1,188 | $0.00 | |
| D0601 | 0% | 352 | $0.00 | |
| D0603 | 0% | 6,326 | $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 officialMORRISSEY, DANIEL (PRESIDENT)
Parent organizationPDA HOLDINGS