Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Rva Childrens Dentistry PC

Rva Childrens Dentistry PC was paid $1.03M by Medicaid between Jan 2018 and Sep 2024, across 24 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.

33Billing provider infoRVA CHILDRENS DENTISTRY PC
GLEN ALLEN, VA 23059
33aNPI1215481601assigned 08/15/2016
33bProvider typePediatric Dentist
28Total paid$1.03M
24GClaims40,171
24DCodes billed24
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Pediatric Dentist providers in Virginia

Rank by total paid#34 of 140
Median peer was paid$234K
This provider vs. median4.4×

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

$0$20K$40K$60K2018201920202021202220232024
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
20182,196$60K
20193,395$100K
20204,211$112K
20216,837$208K
20229,015$360K
20238,905$189K
2024incomplete5,612$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 19% 2,395 1,137 $193K
D1120 Dental cleaning, childProphylaxis - child 17% 6,657 6,586 $176K
D1206 Topical application of fluoride varnish 13% 7,999 7,914 $133K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 8.0% 5,360 5,295 $83K
D0272 Bitewings - two radiographic images 5.6% 3,484 3,455 $57K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 5.2% 1,947 1,824 $54K
D9920 4.7% 915 889 $49K
D1110 Prophylaxis - adult 4.1% 1,107 1,092 $42K
D0150 Comprehensive oral evaluation - new or established patient 4.0% 1,402 1,389 $41K
D1351 Sealant - per tooth 3.7% 1,562 524 $38K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.2% 506 329 $33K
D0240 2.6% 2,402 1,239 $27K
12 more codes
D2930 Prefabricated stainless steel crown - primary tooth 2.4% 156 $24K
D7140 Extraction, erupted tooth or exposed root 2.3% 432 $23K
D0330 Panoramic radiographic image 1.9% 384 $20K
D0145 Oral evaluation for a patient under three years of age 1.2% 708 $12K
D9630 <1% 510 $8K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 57 $5K
D0220 Intraoral - periapical first radiographic image <1% 498 $3K
D0140 Limited oral evaluation - problem focused <1% 109 $2K
D9994 <1% 1,484 $2K
D9248 <1% 26 $2K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 14 $2K
D0230 Intraoral - periapical each additional radiographic image 0% 57 $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 officialCARTER, SOBIA (OWNER)