Managed care
Ayesha Sultan DDS PC
Ayesha Sultan DDS PC was paid $77K by Medicaid between Jan 2018 and Aug 2024, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.
33Billing provider infoAYESHA SULTAN DDS PC
MANASSAS, VA 20112
MANASSAS, VA 20112
33aNPI1063799765assigned 11/08/2011
33bProvider typePreferred Provider Organization
28Total paid$77K
24GClaims3,902
24DCodes billed13
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Preferred Provider Organization providers in Virginia
Rank by total paid#9 of 11
Median peer was paid$151K
This provider vs. median0.5×
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 | 194 | $9K | |
| 2019 | 525 | $9K | |
| 2020 | 135 | $3K | |
| 2021 | 567 | $17K | |
| 2022 | 708 | $20K | |
| 2023 | 1,222 | $20K | |
| 2024incomplete | 551 | $0.00 |
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 | 17% | 252 | 127 | $13K |
| D9630 | 12% | 614 | 594 | $9K | |
| D9920 | 11% | 123 | 107 | $8K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 576 | 559 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 10% | 954 | 848 | $8K |
| D1110 | Prophylaxis - adult | 9.1% | 286 | 281 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.0% | 120 | 76 | $5K |
| D1206 | Topical application of fluoride varnish | 6.4% | 243 | 225 | $5K |
| D0274 | Bitewings - four radiographic images | 6.1% | 221 | 211 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.5% | 86 | 82 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.7% | 307 | 203 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.6% | 60 | 53 | $2K |
1 more codes
| D0140 | Limited oral evaluation - problem focused | 2.2% | 60 | $2K |
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 officialSULTAN, AYESHA (DENTIST)