Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VA › Alexandria › NPI 1063076602
Dental

Dentist of America, PC

Dentist of America, PC was paid $69K by Medicaid between Oct 2021 and Aug 2024, across 14 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 35% of everything it billed.

33Billing provider infoDENTIST OF AMERICA, PC
ALEXANDRIA, VA 22312
33aNPI1063076602assigned 04/29/2019
28Total paid$69K
24GClaims3,070
24DCodes billed14
24AFirst – last monthOct 2021 – Aug 2024
Compared with peers

Next to other General Practice Dentistry providers in Virginia

Rank by total paid#217 of 549
Median peer was paid$29K
This provider vs. median2.4×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
202115$469.65
2022817$41K
20231,417$27K
2024incomplete821$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2391 Resin-based composite - one surface, posterior, primary or permanent 35% 422 130 $24K
D1110 Prophylaxis - adult 22% 588 585 $15K
D0210 Intraoral - complete series of radiographic images 16% 180 171 $11K
D0150 Comprehensive oral evaluation - new or established patient 13% 394 392 $9K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 4.6% 349 347 $3K
D0220 Intraoral - periapical first radiographic image 3.0% 355 346 $2K
D0274 Bitewings - four radiographic images 2.8% 132 130 $2K
D0230 Intraoral - periapical each additional radiographic image 2.5% 257 218 $2K
D0140 Limited oral evaluation - problem focused 1.1% 27 27 $774.71
D9994 0% 237 237 $0.00
D9630 0% 12 12 $0.00
D1208 Topical application of fluoride, excluding varnish 0% 14 14 $0.00
2 more codes
D2954 0% 53 $0.00
D2740 Crown - porcelain/ceramic 0% 50 $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 officialLE, THIEN (PRESIDENT)