Dental
Red Apple Pediatric Dental Team
Red Apple Pediatric Dental Team was paid $413K by Medicaid between Jul 2020 and Sep 2024, across 23 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.
33Billing provider infoRED APPLE PEDIATRIC DENTAL TEAM
STAFFORD, VA 22556
STAFFORD, VA 22556
33aNPI1215560370assigned 02/18/2020
33bProvider typePediatric Dentist
28Total paid$413K
24GClaims17,374
24DCodes billed23
24AFirst – last monthJul 2020 – Sep 2024
Compared with peers
Next to other Pediatric Dentist providers in Virginia
Rank by total paid#57 of 140
Median peer was paid$234K
This provider vs. median1.8×
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 | 239 | $8K | |
| 2021 | 1,972 | $69K | |
| 2022 | 3,847 | $167K | |
| 2023 | 7,444 | $169K | |
| 2024incomplete | 3,872 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19% | 1,165 | 626 | $78K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 2,701 | 2,669 | $57K |
| D9920 | 12% | 1,389 | 1,268 | $50K | |
| D1206 | Topical application of fluoride varnish | 10% | 3,062 | 3,029 | $42K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.5% | 1,097 | 877 | $27K |
| D1351 | Sealant - per tooth | 5.7% | 1,112 | 308 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.3% | 1,933 | 1,914 | $22K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.3% | 297 | 140 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 829 | 818 | $20K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.6% | 344 | 192 | $19K |
| D0330 | Panoramic radiographic image | 2.7% | 328 | 328 | $11K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.7% | 132 | 64 | $7K |
11 more codes
| D1110 | Prophylaxis - adult | 1.4% | 220 | $6K |
| D0140 | Limited oral evaluation - problem focused | 1.4% | 462 | $6K |
| D9310 | 1.3% | 74 | $5K | |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 801 | $5K |
| D0251 | 1.3% | 229 | $5K | |
| D3120 | <1% | 464 | $4K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 477 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 123 | $895.40 |
| D0240 | <1% | 76 | $366.85 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 15 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 44 | $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 officialASHBY, SKYLAR (FRONT DESK)