Dental
Cosmetic and Family Dentistry
Cosmetic and Family Dentistry was paid $292K by Medicaid between Jan 2018 and Aug 2024, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 21% of everything it billed.
33Billing provider infoCOSMETIC AND FAMILY DENTISTRY
HERNDON, VA 20171
HERNDON, VA 20171
33aNPI1093881815assigned 11/24/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$292K
24GClaims12,930
24DCodes billed16
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#120 of 549
Median peer was paid$29K
This provider vs. median9.9×
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 | 2,263 | $69K | |
| 2019 | 1,969 | $50K | |
| 2020 | 1,563 | $41K | |
| 2021 | 1,483 | $40K | |
| 2022 | 2,037 | $62K | |
| 2023 | 2,324 | $31K | |
| 2024incomplete | 1,291 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 21% | 1,643 | 1,614 | $62K |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 2,832 | 2,801 | $50K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 2,856 | 2,823 | $48K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 1,531 | 1,515 | $45K |
| D9630 | 9.4% | 1,709 | 1,704 | $27K | |
| D0272 | Bitewings - two radiographic images | 7.6% | 1,309 | 1,282 | $22K |
| D9920 | 5.4% | 269 | 244 | $16K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.1% | 94 | 40 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 240 | 220 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.4% | 98 | 24 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.1% | 84 | 36 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 44 | 40 | $2K |
4 more codes
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 officialGANJI, NAZILA (PRESIDENT)