Dental
Justin S Edwards DMD MSD PLC
Justin S Edwards DMD MSD PLC was paid $1.17M by Medicaid between Jan 2018 and Sep 2024, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 28% of everything it billed.
33Billing provider infoJUSTIN S EDWARDS DMD MSD PLC
FREDERICKSBURG, VA 22401
FREDERICKSBURG, VA 22401
33aNPI1043624505assigned 06/12/2014
33bProvider typePediatric Dentist
28Total paid$1.17M
24GClaims51,995
24DCodes billed23
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Pediatric Dentist providers in Virginia
Rank by total paid#28 of 140
Median peer was paid$234K
This provider vs. median5.0×
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 | 4,117 | $109K | |
| 2019 | 6,261 | $167K | |
| 2020 | 6,257 | $167K | |
| 2021 | 7,939 | $223K | |
| 2022 | 8,881 | $267K | |
| 2023 | 11,232 | $239K | |
| 2024incomplete | 7,308 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 28% | 11,897 | 11,750 | $327K |
| D1206 | Topical application of fluoride varnish | 20% | 13,649 | 13,486 | $234K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 10,484 | 10,348 | $170K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.2% | 640 | 226 | $72K |
| D0274 | Bitewings - four radiographic images | 6.0% | 3,103 | 3,070 | $70K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.3% | 2,238 | 2,149 | $61K |
| D1110 | Prophylaxis - adult | 4.3% | 1,440 | 1,417 | $50K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.1% | 1,769 | 1,750 | $48K |
| D7140 | Extraction, erupted tooth or exposed root | 2.3% | 535 | 249 | $27K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 505 | 291 | $24K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.8% | 338 | 193 | $21K |
| D0272 | Bitewings - two radiographic images | 1.7% | 1,311 | 1,292 | $20K |
11 more codes
| D1351 | Sealant - per tooth | 1.6% | 1,107 | $19K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,460 | $11K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 291 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 251 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 632 | $4K |
| D0330 | Panoramic radiographic image | <1% | 62 | $2K |
| D0240 | <1% | 136 | $1K | |
| D3120 | <1% | 77 | $1K | |
| D9310 | 0% | 14 | $0.00 | |
| D9630 | 0% | 43 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 13 | $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 officialEDWARDS, JUSTIN (ORGANIZER)
| Provider | Location | Paid |
|---|---|---|
| City of Uhrichsville | Uhrichsville, OH | $136K |
| Pediatric Dentistry of King George | King George, VA | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.