Dental
Premier Dental Group PLLC
Premier Dental Group PLLC was paid $1.02M by Medicaid between Nov 2019 and Sep 2024, across 29 billing codes. Its largest line is D9920, — 14% of everything it billed.
33Billing provider infoPREMIER DENTAL GROUP PLLC
MANASSAS, VA 20110
MANASSAS, VA 20110
33aNPI1063971281assigned 03/18/2019
33bProvider typeDentist Anesthesiologist
28Total paid$1.02M
24GClaims39,023
24DCodes billed29
24AFirst – last monthNov 2019 – Sep 2024
Compared with peers
Next to other Dentist Anesthesiologist providers in Virginia
Rank by total paid#3 of 8
Median peer was paid$270K
This provider vs. median3.8×
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 | |
|---|---|---|---|
| 2019 | 25 | $672.51 | |
| 2020 | 682 | $24K | |
| 2021 | 5,102 | $185K | |
| 2022 | 10,945 | $486K | |
| 2023 | 12,887 | $321K | |
| 2024incomplete | 9,382 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9920 | 14% | 3,403 | 3,145 | $141K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 13% | 1,158 | 503 | $129K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 2,032 | 1,084 | $125K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.6% | 4,520 | 4,490 | $97K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.6% | 1,217 | 696 | $67K |
| D7140 | Extraction, erupted tooth or exposed root | 6.6% | 1,326 | 629 | $67K |
| D1206 | Topical application of fluoride varnish | 6.6% | 4,992 | 4,959 | $67K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.2% | 2,485 | 1,906 | $63K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.9% | 4,850 | 1,735 | $40K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.4% | 3,018 | 3,002 | $34K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 1,203 | 1,198 | $30K |
| D1351 | Sealant - per tooth | 2.7% | 1,277 | 499 | $28K |
17 more codes
| D9310 | 2.2% | 363 | $22K | |
| D0140 | Limited oral evaluation - problem focused | 2.1% | 1,227 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 2,558 | $21K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.4% | 229 | $14K |
| D0272 | Bitewings - two radiographic images | 1.3% | 1,012 | $13K |
| D1110 | Prophylaxis - adult | <1% | 258 | $6K |
| D2330 | <1% | 71 | $6K | |
| D0240 | <1% | 566 | $6K | |
| D3120 | <1% | 444 | $5K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 70 | $4K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 287 | $4K |
| D0330 | Panoramic radiographic image | <1% | 204 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 119 | $2K |
| D1354 | <1% | 81 | $972.00 | |
| D9222 | <1% | 12 | $768.00 | |
| D0274 | Bitewings - four radiographic images | <1% | 24 | $430.56 |
| D1510 | 0% | 17 | $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 officialAMIRSAYAFI, PAYAM (OWNER)