American Dental Care

American Dental Care was paid $11K by Medicaid between Jun 2018 and Jun 2022, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 45% of everything it billed.

33Billing provider infoAMERICAN DENTAL CARE
FALLS CHURCH, VA 22046

33aNPI1093267239assigned 11/03/2016

33bProvider typeDentist

28Total paid$11K

24GClaims416

24DCodes billed8

24AFirst – last monthJun 2018 – Jun 2022

Compared with peers

Next to other Dentist providers in Virginia

Rank by total paid#255 of 417

Median peer was paid$34K

This provider vs. median0.3×

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	44	$863.58
2019	24	$375.96
2020	79	$1K
2021	190	$7K
2022	79	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	45%	110	105	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	88	86	$2K
D1208	Topical application of fluoride, excluding varnish	12%	67	67	$1K
D9310		8.8%	12	12	$998.28
D0220	Intraoral - periapical first radiographic image	6.9%	76	72	$782.60
D0150	Comprehensive oral evaluation - new or established patient	5.8%	28	25	$657.51
D0274	Bitewings - four radiographic images	4.1%	17	13	$469.20
D0230	Intraoral - periapical each additional radiographic image	1.8%	18	13	$201.24

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 officialLYAZIDI, AICHA (DENTIST)