Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
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

$0$250K$500K$750K2018201920202021202220232024
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
YearClaimsPaid
201829$5K
20192,128$349K
20204,354$745K
202113,299$2.01M
202216,913$2.15M
20237,051$2.46M
2024incomplete6,940$6.51M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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
D2332 <1% 879 $30K
D2331 <1% 489 $19K
D2929 <1% 785 $12K
D2933 <1% 434 $10K
D2932 <1% 217 $8K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 173 $4K
D2335 <1% 53 $780.06
D1510 0% 850 $0.00
D1354 0% 32 $0.00
D3230 0% 138 $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 officialJONES, VIRGINIA (CHIEF EXECUTIVE OFFICER)
Same official

Other billing entities under JONES, VIRGINIA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.