Dental
Speciality Dental Partners of Virginia PLLC
Speciality Dental Partners of Virginia PLLC was paid $79K by Medicaid between Jan 2018 and Dec 2018, across 10 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 24% of everything it billed.
33Billing provider infoSPECIALITY DENTAL PARTNERS OF VIRGINIA PLLC
DUNDEE, MI 48131
DUNDEE, MI 48131
33aNPI1144772740assigned 10/30/2016
33bProvider typePediatric Dentist
28Total paid$79K
24GClaims3,852
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#121 of 153
Median peer was paid$464K
This provider vs. median0.2×
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 | 3,852 | $79K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 24% | 985 | 983 | $19K |
| D9630 | 23% | 936 | 932 | $19K | |
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 581 | 580 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 902 | 900 | $16K |
| D1110 | Prophylaxis - adult | 4.5% | 86 | 86 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 144 | 54 | $1K |
| D0272 | Bitewings - two radiographic images | 1.8% | 75 | 75 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 104 | 99 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 25 | 25 | $782.75 |
| D0274 | Bitewings - four radiographic images | <1% | 14 | 14 | $306.31 |
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 officialWOOD, ROGER (DOCTOR/OWNER)