Dental
Bon Secours ST Mary's Hospital of Richmond LLC
Bon Secours ST Mary's Hospital of Richmond LLC was paid $2.39M by Medicaid between Jan 2018 and Sep 2024, across 24 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoBON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC
RICHMOND, VA 23230
RICHMOND, VA 23230
33aNPI1265706188assigned 02/24/2012
33bProvider typePediatric Dentist
28Total paid$2.39M
24GClaims95,959
24DCodes billed24
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Pediatric Dentist providers in Virginia
Rank by total paid#17 of 140
Median peer was paid$234K
This provider vs. median10×
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 | 11,251 | $318K | |
| 2019 | 12,578 | $365K | |
| 2020 | 11,801 | $347K | |
| 2021 | 16,473 | $507K | |
| 2022 | 16,282 | $515K | |
| 2023 | 17,029 | $334K | |
| 2024incomplete | 10,545 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 21,048 | 20,845 | $587K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 17% | 3,604 | 1,308 | $416K |
| D1206 | Topical application of fluoride varnish | 17% | 23,847 | 23,616 | $412K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 16,935 | 16,775 | $282K |
| D0272 | Bitewings - two radiographic images | 4.8% | 6,934 | 6,853 | $115K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.0% | 3,252 | 3,192 | $95K |
| D1110 | Prophylaxis - adult | 3.0% | 1,906 | 1,884 | $72K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 2,579 | 2,543 | $63K |
| D1351 | Sealant - per tooth | 2.5% | 3,196 | 949 | $61K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.5% | 867 | 627 | $60K |
| D0145 | Oral evaluation for a patient under three years of age | 2.0% | 2,753 | 2,733 | $47K |
| D0330 | Panoramic radiographic image | 1.9% | 966 | 957 | $44K |
12 more codes
| D7140 | Extraction, erupted tooth or exposed root | 1.3% | 535 | $31K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 3,126 | $30K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,111 | $23K |
| D0240 | <1% | 1,535 | $16K | |
| D0274 | Bitewings - four radiographic images | <1% | 666 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 882 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 101 | $7K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 13 | $2K |
| D9995 | <1% | 21 | $475.00 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 30 | $51.36 |
| D9310 | 0% | 40 | $0.00 | |
| D9219 | 0% | 12 | $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 officialHARDY, JOSEPH (CFO)
| Provider | Location | Paid |
|---|---|---|
| Mercy Health Physicians Springfield Primary Care LLC | Urbana, OH | $2.16M |
| Bon Secours ST. Francis Medical Center LLC | Powhatan, VA | $897K |
| Bon Secours Memorial Regional Medical Center LLC | Mechanicsville, VA | $621K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.