Clinic
Commonwealth Dental Clinic
Commonwealth Dental Clinic was paid $171K by Medicaid between Mar 2018 and Jun 2021, across 4 billing codes. Its largest line is D0330, Panoramic radiographic image — 29% of everything it billed.
33Billing provider infoCOMMONWEALTH DENTAL CLINIC
ROANOKE, VA 24016
ROANOKE, VA 24016
33aNPI1144641309assigned 12/13/2013
33bProvider typeDental Clinic/Center
28Total paid$171K
24GClaims13,390
24DCodes billed4
24AFirst – last monthMar 2018 – Jun 2021
Compared with peers
Next to other Dental Clinic/Center providers in Virginia
Rank by total paid#55 of 142
Median peer was paid$75K
This provider vs. median2.3×
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 | 488 | $9K | |
| 2019 | 4,812 | $108K | |
| 2020 | 4,095 | $29K | |
| 2021 | 3,995 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 29% | 1,953 | 1,898 | $49K |
| D7140 | Extraction, erupted tooth or exposed root | 29% | 6,718 | 1,989 | $49K |
| D0140 | Limited oral evaluation - problem focused | 24% | 2,954 | 2,851 | $41K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 18% | 1,765 | 921 | $31K |
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 officialHARVEY, GREGORY (PRESIDENT)