Dental
Williamsburg Pediatric Dentistry PLLC
Williamsburg Pediatric Dentistry PLLC was paid $1.29M by Medicaid between Jan 2018 and Sep 2024, across 27 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoWILLIAMSBURG PEDIATRIC DENTISTRY PLLC
NEWPORT NEWS, VA 23606
NEWPORT NEWS, VA 23606
33aNPI1033455449assigned 12/13/2012
33bProvider typePediatric Dentist
28Total paid$1.29M
24GClaims68,553
24DCodes billed27
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Pediatric Dentist providers in Virginia
Rank by total paid#23 of 140
Median peer was paid$234K
This provider vs. median5.5×
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 | 6,852 | $174K | |
| 2019 | 6,957 | $171K | |
| 2020 | 8,266 | $180K | |
| 2021 | 12,686 | $271K | |
| 2022 | 12,673 | $318K | |
| 2023 | 11,956 | $178K | |
| 2024incomplete | 9,163 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 12,258 | 12,116 | $327K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 13,758 | 13,614 | $219K |
| D1206 | Topical application of fluoride varnish | 15% | 11,521 | 11,385 | $195K |
| D1110 | Prophylaxis - adult | 8.7% | 3,154 | 3,125 | $112K |
| D0272 | Bitewings - two radiographic images | 7.4% | 5,761 | 5,704 | $96K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.5% | 2,284 | 2,205 | $58K |
| D9994 | 4.3% | 6,813 | 6,616 | $56K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 1,889 | 1,872 | $47K |
| D1208 | Topical application of fluoride, excluding varnish | 3.5% | 3,067 | 3,054 | $45K |
| D1351 | Sealant - per tooth | 2.4% | 1,264 | 390 | $32K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 2,684 | 2,629 | $24K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 555 | 403 | $21K |
15 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.0% | 281 | $13K |
| D9630 | 1.0% | 698 | $13K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 274 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,151 | $10K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 26 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 165 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 295 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 186 | $2K |
| D0330 | Panoramic radiographic image | <1% | 26 | $1K |
| D1355 | <1% | 36 | $1K | |
| D9992 | <1% | 235 | $927.36 | |
| D9990 | <1% | 64 | $922.50 | |
| D0240 | <1% | 70 | $269.94 | |
| D7962 | 0% | 12 | $0.00 | |
| D1354 | 0% | 26 | $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 officialGAROFALIS, HARALAMBOS (OWNER, MANAGER)