Dental
Manassas Modern Dentistry PLLC
Manassas Modern Dentistry PLLC was paid $103K by Medicaid between Oct 2022 and Sep 2024, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 29% of everything it billed.
33Billing provider infoMANASSAS MODERN DENTISTRY PLLC
MANASSAS, VA 20109
MANASSAS, VA 20109
33aNPI1114652286assigned 07/21/2022
33bProvider typeDentist
28Total paid$103K
24GClaims5,620
24DCodes billed19
24AFirst – last monthOct 2022 – Sep 2024
Compared with peers
Next to other Dentist providers in Virginia
Rank by total paid#142 of 417
Median peer was paid$34K
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2022 | 509 | $22K | |
| 2023 | 3,278 | $81K | |
| 2024incomplete | 1,833 | $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 | 29% | 598 | 305 | $29K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 15% | 305 | 166 | $16K |
| D1110 | Prophylaxis - adult | 12% | 563 | 561 | $12K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 11% | 101 | 57 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.2% | 442 | 436 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 5.6% | 1,219 | 1,089 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.3% | 1,029 | 638 | $6K |
| D0274 | Bitewings - four radiographic images | 4.5% | 337 | 334 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 2.7% | 137 | 114 | $3K |
| D2950 | 1.8% | 149 | 108 | $2K | |
| D2331 | 1.6% | 16 | 12 | $2K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.6% | 293 | 292 | $2K |
7 more codes
| D0140 | Limited oral evaluation - problem focused | 1.0% | 108 | $1K |
| D0330 | Panoramic radiographic image | <1% | 13 | $912.47 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 144 | $810.90 |
| D2740 | Crown - porcelain/ceramic | 0% | 126 | $0.00 |
| D7880 | 0% | 12 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 13 | $0.00 |
| D4910 | 0% | 15 | $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 officialSALAMEH, TAREQ (DOCTOR/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Alexandria Dentistry PLLC | Alexandria, VA | $648K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.