Clinic
Hsa Dental
Hsa Dental was paid $0.00 by Medicaid between Feb 2024 and Sep 2024, across 22 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 0% of everything it billed.
33Billing provider infoHSA DENTAL
ASHLAND, VA 23005
ASHLAND, VA 23005
33aNPI1104696509assigned 01/05/2024
33bProvider typeDental Clinic/Center
28Total paid$0.00
24GClaims5,242
24DCodes billed22
24AFirst – last monthFeb 2024 – Sep 2024
Compared with peers
Next to other Dental Clinic/Center providers in Virginia
Rank by total paid#123 of 142
Median peer was paid$75K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 5,242 | $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 | 0% | 485 | 275 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 255 | 255 | $0.00 |
| D9630 | 0% | 334 | 332 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 414 | 414 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 156 | 156 | $0.00 |
| D9994 | 0% | 784 | 784 | $0.00 | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 349 | 349 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 190 | 190 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 92 | 68 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 142 | 80 | $0.00 |
| D3120 | 0% | 21 | 17 | $0.00 | |
| D2750 | 0% | 46 | 32 | $0.00 |
10 more codes
| D1110 | Prophylaxis - adult | 0% | 661 | $0.00 |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 0% | 36 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 347 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 180 | $0.00 |
| D3320 | 0% | 26 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 284 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 272 | $0.00 |
| D2950 | 0% | 141 | $0.00 | |
| D4910 | 0% | 15 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 12 | $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 officialJIWANI, MUNIRA (OWNER)