Dental
Treasured Smiles Pediatric Dentistry
Treasured Smiles Pediatric Dentistry was paid $307K by Medicaid between Jan 2018 and Aug 2024, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.
33Billing provider infoTREASURED SMILES PEDIATRIC DENTISTRY
LEESBURG, VA 20175
LEESBURG, VA 20175
33aNPI1225465131assigned 10/09/2013
33bProvider typePediatric Dentist
28Total paid$307K
24GClaims12,794
24DCodes billed12
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Pediatric Dentist providers in Virginia
Rank by total paid#64 of 140
Median peer was paid$234K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2018 | 1,344 | $41K | |
| 2019 | 1,468 | $41K | |
| 2020 | 1,551 | $42K | |
| 2021 | 2,016 | $57K | |
| 2022 | 2,606 | $83K | |
| 2023 | 2,483 | $43K | |
| 2024incomplete | 1,326 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 29% | 3,125 | 3,088 | $89K |
| D1206 | Topical application of fluoride varnish | 22% | 3,763 | 3,721 | $66K |
| D9920 | 19% | 839 | 818 | $59K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 3,230 | 3,189 | $54K |
| D0272 | Bitewings - two radiographic images | 5.5% | 970 | 960 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 169 | 169 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.4% | 165 | 157 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.3% | 42 | 26 | $4K |
| D1110 | Prophylaxis - adult | 1.2% | 119 | 117 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 293 | 288 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 29 | 25 | $965.64 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 50 | 40 | $726.50 |
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 officialHICKERSON, CHRISTINE (OFFICE MANAGER)