Dental
Fidel Dental Group
Fidel Dental Group was paid $3.80M by Medicaid between Jan 2018 and Dec 2021, across 29 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoFIDEL DENTAL GROUP
ARLINGTON, VA 22204
ARLINGTON, VA 22204
33aNPI1043510282assigned 10/21/2010
33bProvider typePediatric Dentist
28Total paid$3.80M
24GClaims107,890
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Pediatric Dentist providers in Virginia
Rank by total paid#10 of 140
Median peer was paid$234K
This provider vs. median16×
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 | 28,446 | $1.03M | |
| 2019 | 25,623 | $879K | |
| 2020 | 21,631 | $720K | |
| 2021 | 32,190 | $1.17M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 17,272 | 17,122 | $571K |
| D8670 | Periodic orthodontic treatment visit | 13% | 1,234 | 1,187 | $488K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 4,630 | 2,452 | $406K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.4% | 17,967 | 17,811 | $357K |
| D1208 | Topical application of fluoride, excluding varnish | 8.9% | 16,423 | 16,270 | $337K |
| D1110 | Prophylaxis - adult | 4.5% | 3,724 | 3,687 | $173K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.4% | 4,961 | 4,556 | $165K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.1% | 1,141 | 651 | $155K |
| D1351 | Sealant - per tooth | 4.1% | 4,871 | 1,602 | $154K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 2,100 | 1,287 | $154K |
| D7140 | Extraction, erupted tooth or exposed root | 3.9% | 2,194 | 1,276 | $147K |
| D0272 | Bitewings - two radiographic images | 3.7% | 7,036 | 6,966 | $140K |
17 more codes
| D1206 | Topical application of fluoride varnish | 2.5% | 4,558 | $94K |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 1.9% | 69 | $71K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 5,841 | $65K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.7% | 5,735 | $63K |
| D0274 | Bitewings - four radiographic images | 1.0% | 1,452 | $40K |
| D8660 | 1.0% | 213 | $39K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,028 | $32K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,614 | $32K |
| D0330 | Panoramic radiographic image | <1% | 584 | $31K |
| D9920 | <1% | 449 | $31K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 879 | $21K |
| D0240 | <1% | 1,468 | $18K | |
| D8680 | <1% | 13 | $5K | |
| D3120 | <1% | 290 | $5K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 13 | $1K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 18 | $1K |
| D1354 | <1% | 113 | $1K |
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 officialFIDEL, LOUIS (MANAGING DIRECTOR)