Dental
Clinch River Pediatric Dentistry PLLC
Clinch River Pediatric Dentistry PLLC was paid $0.00 by Medicaid between Sep 2024 and Sep 2024, across 4 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 0% of everything it billed.
33Billing provider infoCLINCH RIVER PEDIATRIC DENTISTRY PLLC
ABINGDON, VA 24210
ABINGDON, VA 24210
33aNPI1164271581assigned 05/16/2024
33bProvider typePediatric Dentist
28Total paid$0.00
24GClaims172
24DCodes billed4
24AFirst – last monthSep 2024 – Sep 2024
Compared with peers
Next to other Pediatric Dentist providers in Virginia
Rank by total paid#129 of 140
Median peer was paid$234K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 172 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 0% | 48 | 48 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 50 | 50 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 26 | 26 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 48 | 48 | $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 officialMCCALL, CONNOR (MANAGING PERSON)