Dental
Valleygate Dental Surgery Centers of the West, LLC
Valleygate Dental Surgery Centers of the West, LLC was paid $14.22M by Medicaid between Sep 2018 and Dec 2024, across 22 billing codes. Its largest line is G0330, Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room — 51% of everything it billed.
33Billing provider infoVALLEYGATE DENTAL SURGERY CENTERS OF THE WEST, LLC
GREENSBORO, NC 27409
GREENSBORO, NC 27409
33aNPI1194230573assigned 12/07/2017
33bProvider typeDentist Anesthesiologist
28Total paid$14.22M
24GClaims50,714
24DCodes billed22
24AFirst – last monthSep 2018 – Dec 2024
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 | 29 | $5K | |
| 2019 | 2,128 | $349K | |
| 2020 | 4,354 | $745K | |
| 2021 | 13,299 | $2.01M | |
| 2022 | 16,913 | $2.15M | |
| 2023 | 7,051 | $2.46M | |
| 2024incomplete | 6,940 | $6.51M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0330 | Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room | 51% | 5,449 | 4,056 | $7.21M |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 24% | 9,218 | 8,980 | $3.41M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 11% | 5,497 | 4,072 | $1.55M |
| D1120 | Dental cleaning, childProphylaxis - child | 5.5% | 1,828 | 1,490 | $786K |
| D9222 | 4.7% | 9,216 | 8,981 | $671K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.0% | 1,940 | 1,451 | $149K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 2,263 | 1,648 | $120K |
| D2330 | <1% | 1,564 | 1,133 | $93K | |
| D1351 | Sealant - per tooth | <1% | 2,659 | 1,972 | $52K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 3,098 | 2,260 | $38K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 2,760 | 2,022 | $32K |
| D1206 | Topical application of fluoride varnish | <1% | 1,172 | 1,033 | $31K |
10 more codes
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 officialJONES, VIRGINIA (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Valleygate Dental Surgery Center of Fayetteville, LLC | Fayetteville, NC | $26.54M |
| Valleygate Dental Surgery Center of Charlotte LLC | Charlotte, NC | $26.29M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.