Dental
Hampton Roads Pediatric Dentistry and Orthodontics, PLLC
Hampton Roads Pediatric Dentistry and Orthodontics, PLLC was paid $126K by Medicaid between May 2019 and Dec 2024, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 33% of everything it billed.
33Billing provider infoHAMPTON ROADS PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC
PORTSMOUTH, VA 23704
PORTSMOUTH, VA 23704
33aNPI1174996359assigned 11/10/2015
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$126K
24GClaims5,427
24DCodes billed10
24AFirst – last monthMay 2019 – Dec 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Virginia
Rank by total paid#53 of 113
Median peer was paid$107K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2019 | 863 | $20K | |
| 2020 | 892 | $22K | |
| 2021 | 854 | $21K | |
| 2022 | 1,060 | $25K | |
| 2023 | 1,056 | $20K | |
| 2024incomplete | 702 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 33% | 1,646 | 1,549 | $42K |
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 981 | 922 | $26K |
| D1206 | Topical application of fluoride varnish | 18% | 1,397 | 1,314 | $22K |
| D1110 | Prophylaxis - adult | 11% | 388 | 350 | $13K |
| D0272 | Bitewings - two radiographic images | 7.4% | 537 | 495 | $9K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.4% | 126 | 120 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 2.4% | 182 | 175 | $3K |
| D0240 | 2.1% | 106 | 81 | $3K | |
| D1351 | Sealant - per tooth | <1% | 49 | 13 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 15 | 14 | $653.10 |
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 officialDAVIS, GRACE (BUSINESS ADMINISTRATOR)
Parent organizationHAMPTON ROADS PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC
| Provider | Location | Paid |
|---|---|---|
| Coliseum Pediatric Dentistry PLLC | Hampton, VA | $5.36M |
| Hampton Roads Pediatric Dentistry and Orthodontics, PLLC | Newport News, VA | $3.23M |
| Peninsula Pediatric Dentistry, P.C. | Newport News, VA | $2.72M |
| Hampton Roads Pediatric Dentistry and Orthodontics, PLLC | Chesapeake, VA | $1.00M |
| Red Mill Pediatric Dentistry, PLLC | Virginia Beach, VA | $470K |
| Hampton Roads Pediatric Dentistry and Orthodontics, PLLC | Yorktown, VA | $427K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.