Dental
Woodside Pediatric Dentistry
Woodside Pediatric Dentistry was paid $1.37M by Medicaid between Jan 2018 and Sep 2024, across 20 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 20% of everything it billed.
33Billing provider infoWOODSIDE PEDIATRIC DENTISTRY
WARRENTON, VA 20186
WARRENTON, VA 20186
33aNPI1154467249assigned 01/29/2007
33bProvider typePediatric Dentist
28Total paid$1.37M
24GClaims52,900
24DCodes billed20
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Pediatric Dentist providers in Virginia
Rank by total paid#21 of 140
Median peer was paid$234K
This provider vs. median5.9×
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 | |
|---|---|---|---|
| 2018 | 7,994 | $245K | |
| 2019 | 7,954 | $232K | |
| 2020 | 7,362 | $226K | |
| 2021 | 8,066 | $242K | |
| 2022 | 7,869 | $268K | |
| 2023 | 8,575 | $158K | |
| 2024incomplete | 5,080 | $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 | 20% | 3,760 | 1,977 | $274K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 8,911 | 8,825 | $249K |
| D1208 | Topical application of fluoride, excluding varnish | 14% | 10,956 | 10,854 | $194K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 10,370 | 10,274 | $175K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.4% | 3,054 | 3,001 | $88K |
| D1110 | Prophylaxis - adult | 6.3% | 2,235 | 2,217 | $87K |
| D0272 | Bitewings - two radiographic images | 4.5% | 3,703 | 3,661 | $62K |
| D7140 | Extraction, erupted tooth or exposed root | 4.5% | 1,154 | 706 | $61K |
| D1351 | Sealant - per tooth | 4.0% | 2,039 | 583 | $54K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 399 | 236 | $27K |
| D0274 | Bitewings - four radiographic images | 1.8% | 1,034 | 1,021 | $24K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 2,366 | 2,342 | $22K |
8 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 688 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,190 | $11K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 127 | $8K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 191 | $7K |
| D0240 | <1% | 619 | $5K | |
| D0330 | Panoramic radiographic image | <1% | 78 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 14 | $347.62 |
| D1206 | Topical application of fluoride varnish | 0% | 12 | $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 officialWOODSIDE, JENNIFER (DENTIST)