Dental
Angel Heart & Soul Dentistry
Angel Heart & Soul Dentistry was paid $28K by Medicaid between Mar 2021 and Aug 2024, across 10 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 24% of everything it billed.
33Billing provider infoANGEL HEART & SOUL DENTISTRY
FALLS CHURCH, VA 22044
FALLS CHURCH, VA 22044
33aNPI1124414537assigned 04/13/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$28K
24GClaims1,761
24DCodes billed10
24AFirst – last monthMar 2021 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#281 of 549
Median peer was paid$29K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2021 | 204 | $3K | |
| 2022 | 405 | $7K | |
| 2023 | 961 | $18K | |
| 2024incomplete | 191 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 24% | 568 | 134 | $7K |
| D1110 | Prophylaxis - adult | 19% | 197 | 197 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 318 | 318 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 10% | 30 | 12 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 9.8% | 285 | 268 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 8.5% | 154 | 148 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.9% | 49 | 47 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.3% | 40 | 40 | $915.18 |
| D0210 | Intraoral - complete series of radiographic images | 3.1% | 107 | 76 | $859.29 |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 13 | 13 | $529.10 |
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 officialIMAO, JOSEMARI (OWNER/DENTIST)