Dental
Western Pennsylvania Dental Alliance
Western Pennsylvania Dental Alliance was paid $65K by Medicaid between Apr 2021 and Nov 2021, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.
33Billing provider infoWESTERN PENNSYLVANIA DENTAL ALLIANCE
KITTANNING, PA 16201
KITTANNING, PA 16201
33aNPI1861618878assigned 04/18/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$65K
24GClaims2,634
24DCodes billed14
24AFirst – last monthApr 2021 – Nov 2021
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#343 of 847
Median peer was paid$37K
This provider vs. median1.8×
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 | 2,634 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 26% | 502 | 500 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 571 | 569 | $11K |
| D0330 | Panoramic radiographic image | 9.3% | 177 | 174 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.3% | 95 | 87 | $5K |
| D0272 | Bitewings - two radiographic images | 7.3% | 321 | 317 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.1% | 96 | 80 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.2% | 137 | 137 | $4K |
| D1206 | Topical application of fluoride varnish | 6.1% | 225 | 224 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.3% | 153 | 150 | $3K |
| D2330 | 3.5% | 46 | 27 | $2K | |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 224 | 221 | $2K |
| D9110 | 1.8% | 44 | 44 | $1K |
2 more codes
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 officialHAWK, ALLISON (CHIEF OPERATIONS OFFICER)