Dental
Fontes Lee PLLC
Fontes Lee PLLC was paid $213K by Medicaid between May 2021 and Sep 2024, across 22 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.
33Billing provider infoFONTES LEE PLLC
CHANTILLY, VA 20151
CHANTILLY, VA 20151
33aNPI1154904837assigned 04/30/2021
33bProvider typePediatric Dentist
28Total paid$213K
24GClaims11,357
24DCodes billed22
24AFirst – last monthMay 2021 – Sep 2024
Compared with peers
Next to other Pediatric Dentist providers in Virginia
Rank by total paid#74 of 140
Median peer was paid$234K
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 | 645 | $16K | |
| 2022 | 2,204 | $74K | |
| 2023 | 5,129 | $123K | |
| 2024incomplete | 3,379 | $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 | 15% | 597 | 303 | $32K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 1,428 | 1,408 | $28K |
| D1206 | Topical application of fluoride varnish | 9.3% | 1,724 | 1,701 | $20K |
| D9248 | 9.1% | 275 | 245 | $19K | |
| D9920 | 8.7% | 612 | 592 | $18K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.4% | 1,311 | 1,298 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.2% | 1,226 | 838 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.1% | 396 | 383 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.1% | 87 | 53 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 1,190 | 1,140 | $8K |
| D1110 | Prophylaxis - adult | 3.5% | 279 | 274 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.4% | 349 | 323 | $7K |
10 more codes
| D7140 | Extraction, erupted tooth or exposed root | 3.3% | 149 | $7K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.2% | 40 | $7K |
| D0272 | Bitewings - two radiographic images | 2.8% | 571 | $6K |
| D3240 | 2.2% | 17 | $5K | |
| D9310 | 2.1% | 42 | $4K | |
| D0240 | <1% | 315 | $1K | |
| D9630 | <1% | 622 | $981.54 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 25 | $774.72 |
| D0274 | Bitewings - four radiographic images | <1% | 74 | $430.56 |
| D0330 | Panoramic radiographic image | 0% | 28 | $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 officialFONTES, ATTN: FERNANDA (PEDIATRIC DENTIST)