Dental
Richmond Pediatric Dentistry and Orthodontics
Richmond Pediatric Dentistry and Orthodontics was paid $3.79M by Medicaid between Feb 2021 and May 2022, across 34 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoRICHMOND PEDIATRIC DENTISTRY AND ORTHODONTICS
RICHMOND, VA 23229
RICHMOND, VA 23229
33aNPI1083188908assigned 01/14/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$3.79M
24GClaims123,292
24DCodes billed34
24AFirst – last monthFeb 2021 – May 2022
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#6 of 549
Median peer was paid$29K
This provider vs. median129×
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 | |
|---|---|---|---|
| 2021 | 82,067 | $2.56M | |
| 2022 | 41,225 | $1.23M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 17,095 | 16,788 | $566K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 4,676 | 2,429 | $408K |
| D1206 | Topical application of fluoride varnish | 9.2% | 17,035 | 16,708 | $351K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.8% | 16,814 | 16,493 | $333K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.4% | 1,804 | 576 | $244K |
| D7140 | Extraction, erupted tooth or exposed root | 5.0% | 2,833 | 1,274 | $189K |
| D9630 | 4.8% | 9,132 | 8,890 | $181K | |
| D1110 | Prophylaxis - adult | 4.6% | 3,819 | 3,741 | $175K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 5,163 | 5,084 | $160K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.6% | 1,863 | 1,137 | $137K |
| D0240 | 3.4% | 10,805 | 5,318 | $131K | |
| D0272 | Bitewings - two radiographic images | 3.3% | 6,361 | 6,237 | $127K |
22 more codes
| D1351 | Sealant - per tooth | 3.3% | 3,943 | $125K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.8% | 3,143 | $106K |
| D9248 | 2.5% | 858 | $94K | |
| D1208 | Topical application of fluoride, excluding varnish | 2.2% | 3,982 | $82K |
| D0274 | Bitewings - four radiographic images | 1.4% | 2,050 | $55K |
| D8670 | Periodic orthodontic treatment visit | 1.4% | 131 | $53K |
| D0330 | Panoramic radiographic image | 1.2% | 886 | $46K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 4,047 | $44K |
| D0210 | Intraoral - complete series of radiographic images | 1.1% | 1,035 | $42K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 3,086 | $34K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 229 | $25K |
| D0140 | Limited oral evaluation - problem focused | <1% | 854 | $21K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 115 | $18K |
| D3120 | <1% | 878 | $16K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 127 | $10K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 67 | $8K |
| D9310 | <1% | 65 | $5K | |
| D2950 | <1% | 17 | $2K | |
| D9420 | <1% | 29 | $2K | |
| D9920 | <1% | 26 | $2K | |
| D9994 | <1% | 205 | $2K | |
| D1354 | <1% | 119 | $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 officialPARKS, ELIZABETH (FINANCIAL COORDINATOR)
Parent organizationCENTRAL VIRGINIA DENTAL CARE PLC