Favagehi, Jason

Favagehi, Jason was paid $13K by Medicaid between Jan 2020 and Jun 2021, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 65% of everything it billed.

33Billing provider infoFAVAGEHI, JASON
VIENNA, VA 22182

33aNPI1174764047assigned 03/23/2009

33bProvider typeDentist

28Total paid$13K

24GClaims734

24DCodes billed6

24AFirst – last monthJan 2020 – Jun 2021

Compared with peers

Next to other Dentist providers in Virginia

Rank by total paid#249 of 417

Median peer was paid$34K

This provider vs. median0.4×

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
2020	535	$9K
2021	199	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	65%	334	193	$9K
D0274	Bitewings - four radiographic images	17%	194	115	$2K
D0330	Panoramic radiographic image	9.4%	91	51	$1K
D0150	Comprehensive oral evaluation - new or established patient	6.4%	48	29	$845.37
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	2.1%	21	14	$282.10
D0220	Intraoral - periapical first radiographic image	<1%	46	28	$67.08

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.