Dental
Red Mill Pediatric Dentistry, PLLC
Red Mill Pediatric Dentistry, PLLC was paid $470K by Medicaid between Aug 2019 and Nov 2024, across 24 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 20% of everything it billed.
33Billing provider infoRED MILL PEDIATRIC DENTISTRY, PLLC
VIRGINIA BEACH, VA 23456
VIRGINIA BEACH, VA 23456
33aNPI1023568995assigned 10/04/2016
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$470K
24GClaims23,546
24DCodes billed24
24AFirst – last monthAug 2019 – Nov 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Virginia
Rank by total paid#27 of 113
Median peer was paid$107K
This provider vs. median4.4×
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 | |
|---|---|---|---|
| 2019 | 24 | $498.96 | |
| 2020 | 129 | $2K | |
| 2021 | 1,542 | $36K | |
| 2022 | 5,040 | $196K | |
| 2023 | 8,747 | $193K | |
| 2024incomplete | 8,064 | $43K |
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 | 20% | 1,408 | 710 | $93K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 13% | 590 | 301 | $60K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 2,958 | 2,890 | $55K |
| D1206 | Topical application of fluoride varnish | 8.9% | 3,580 | 3,504 | $42K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.8% | 1,719 | 1,656 | $42K |
| D0240 | 6.8% | 3,957 | 2,057 | $32K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.6% | 1,360 | 1,310 | $31K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.6% | 2,010 | 1,988 | $22K |
| D7140 | Extraction, erupted tooth or exposed root | 3.3% | 273 | 169 | $16K |
| D0272 | Bitewings - two radiographic images | 2.9% | 1,200 | 1,164 | $14K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.8% | 290 | 156 | $13K |
| D0330 | Panoramic radiographic image | 2.6% | 328 | 322 | $12K |
12 more codes
| D1351 | Sealant - per tooth | 2.6% | 830 | $12K |
| D1110 | Prophylaxis - adult | 1.3% | 329 | $6K |
| D9994 | 1.2% | 714 | $6K | |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 764 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 191 | $3K |
| D3120 | <1% | 421 | $3K | |
| D9310 | <1% | 125 | $3K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 286 | $707.69 |
| D0274 | Bitewings - four radiographic images | <1% | 49 | $461.78 |
| D9992 | <1% | 102 | $298.08 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 16 | $34.58 |
| D9630 | 0% | 46 | $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 officialDAVIS, GRACE (BUSINESS ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Coliseum Pediatric Dentistry PLLC | Hampton, VA | $5.36M |
| Hampton Roads Pediatric Dentistry and Orthodontics, PLLC | Newport News, VA | $3.23M |
| Peninsula Pediatric Dentistry, P.C. | Newport News, VA | $2.72M |
| Hampton Roads Pediatric Dentistry and Orthodontics, PLLC | Chesapeake, VA | $1.00M |
| Hampton Roads Pediatric Dentistry and Orthodontics, PLLC | Yorktown, VA | $427K |
| Hampton Roads Pediatric Dentistry and Orthodontics, PLLC | Portsmouth, VA | $126K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.