Dental
Va Smiles Dental Center PLLC
Va Smiles Dental Center PLLC was paid $61K by Medicaid between Apr 2023 and Sep 2024, across 25 billing codes. Its largest line is D1110, Prophylaxis - adult — 18% of everything it billed.
33Billing provider infoVA SMILES DENTAL CENTER PLLC
FREDERICKSBURG, VA 22407
FREDERICKSBURG, VA 22407
33aNPI1245945989assigned 01/17/2023
33bProvider typeDentist
28Total paid$61K
24GClaims11,648
24DCodes billed25
24AFirst – last monthApr 2023 – Sep 2024
Compared with peers
Next to other Dentist providers in Virginia
Rank by total paid#171 of 417
Median peer was paid$34K
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official COLE, MIKE controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2023 | 6,183 | $61K | |
| 2024incomplete | 5,465 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 18% | 1,184 | 1,161 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,617 | 1,586 | $8K |
| D0210 | Intraoral - complete series of radiographic images | 13% | 816 | 664 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 453 | 252 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.9% | 1,021 | 995 | $6K |
| D9630 | 6.2% | 1,235 | 1,218 | $4K | |
| D0274 | Bitewings - four radiographic images | 5.5% | 632 | 613 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.5% | 212 | 203 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 4.8% | 1,236 | 1,171 | $3K |
| D9920 | 4.1% | 91 | 83 | $2K | |
| D0140 | Limited oral evaluation - problem focused | 3.8% | 513 | 502 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 3.8% | 460 | 451 | $2K |
13 more codes
| D4910 | 1.8% | 119 | $1K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 358 | $268.07 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 41 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 222 | $0.00 |
| D4341 | 0% | 159 | $0.00 | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 0% | 70 | $0.00 |
| D2394 | 0% | 19 | $0.00 | |
| D2740 | Crown - porcelain/ceramic | 0% | 23 | $0.00 |
| D9994 | 0% | 794 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 84 | $0.00 |
| D8670 | Periodic orthodontic treatment visit | 0% | 115 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 92 | $0.00 |
| D3120 | 0% | 82 | $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 officialCOLE, MIKE (VP INSURANCE PLAN MANAGEMENT)
| Provider | Location | Paid |
|---|---|---|
| Gentle Dental Gratiot Ave PLLC | Detroit, MI | $4.52M |
| Pdom Elkton | Elkton, MD | $4.44M |
| Pdom Havre De Grace | Havre De Grace, MD | $4.29M |
| Dental Center of Goshen PLLC | Goshen, IN | $3.23M |
| Gentle Dental Grand River PLLC | Detroit, MI | $2.49M |
| Pediatric Dentistry and Orthodontics of Maryland LLC | Glen Burnie, MD | $1.99M |
| Gentle Dental Westland PLLC | Westland, MI | $1.60M |
| Konikoff Dental Associates, INC. | Virginia Beach, VA | $1.34M |
| Dental Care Alliance LLC | Sarasota, FL | $838K |
| Gentle Dental Shores PLLC | Saint Clair Shores, MI | $754K |
| Family Dental Group Associates PLLC | Flint, MI | $703K |
| Gentle Dental Warren PLLC | Warren, MI | $559K |
| Gentle Dental Bay PLLC | New Baltimore, MI | $305K |
| Gentle Dental Thorndale LLC | Thorndale, PA | $237K |
| Gentle Dental Shelby PLLC | Shelby Township, MI | $150K |
| Westland- Wayne P.C. | Westland, MI | $70K |
| Detroit - Gratiot P.C. | Detroit, MI | $24K |
| Dental One Associates (Westminster) PC | Westminster, MD | $7K |
| Dental One Associates Woodbridge PC | Woodbridge, VA | $3K |
| Germantown Dental Associates | Philadelphia, PA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.