Pediatric Dentistry of Burke PC

Pediatric Dentistry of Burke PC was paid $226K by Medicaid between Jan 2018 and Apr 2022, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 38% of everything it billed.

33Billing provider infoPEDIATRIC DENTISTRY OF BURKE PC
BURKE, VA 22015

33aNPI1235576745assigned 05/24/2013

33bProvider typePediatric Dentist

28Total paid$226K

24GClaims9,308

24DCodes billed8

24AFirst – last monthJan 2018 – Apr 2022

Compared with peers

Next to other Pediatric Dentist providers in Virginia

Rank by total paid#72 of 140

Median peer was paid$234K

This provider vs. median1.0×

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	1,714	$42K
2019	2,064	$49K
2020	2,292	$55K
2021	2,436	$59K
2022	802	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	38%	2,616	2,595	$85K
D1206	Topical application of fluoride varnish	27%	2,969	2,939	$60K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	23%	2,634	2,604	$52K
D0272	Bitewings - two radiographic images	6.1%	691	683	$14K
D1110	Prophylaxis - adult	3.4%	163	163	$8K
D0150	Comprehensive oral evaluation - new or established patient	1.5%	108	108	$3K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	1.5%	97	91	$3K
D0240		<1%	30	15	$368.10

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 officialTREFF, DAVID (OWNER)