Dental
Centreville Children's Dentistry, PC
Centreville Children's Dentistry, PC was paid $585K by Medicaid between Jan 2018 and Sep 2024, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoCENTREVILLE CHILDREN'S DENTISTRY, PC
CENTREVILLE, VA 20121
CENTREVILLE, VA 20121
33aNPI1144406901assigned 01/11/2008
33bProvider typePediatric Dentist
28Total paid$585K
24GClaims24,936
24DCodes billed13
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Pediatric Dentist providers in Virginia
Rank by total paid#49 of 140
Median peer was paid$234K
This provider vs. median2.5×
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 | 3,339 | $90K | |
| 2019 | 3,457 | $90K | |
| 2020 | 3,155 | $83K | |
| 2021 | 4,120 | $111K | |
| 2022 | 4,308 | $136K | |
| 2023 | 4,288 | $75K | |
| 2024incomplete | 2,269 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 5,060 | 5,014 | $147K |
| D1208 | Topical application of fluoride, excluding varnish | 20% | 6,449 | 6,381 | $115K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 5,679 | 5,613 | $97K |
| D1110 | Prophylaxis - adult | 8.5% | 1,266 | 1,245 | $50K |
| D1351 | Sealant - per tooth | 8.3% | 1,709 | 715 | $49K |
| D0272 | Bitewings - two radiographic images | 6.6% | 2,211 | 2,196 | $38K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.2% | 1,198 | 1,080 | $36K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.8% | 202 | 114 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 451 | 451 | $15K |
| D0330 | Panoramic radiographic image | 2.0% | 224 | 224 | $12K |
| D0274 | Bitewings - four radiographic images | 1.1% | 304 | 294 | $6K |
| D0240 | <1% | 167 | 90 | $2K |
1 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 16 | $1K |
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 officialTALAKSI, RUKSANA (DENTIST/OWNER)