Dental
Hampton Roads Pediatric Dentistry and Orthodontics, PLLC
Hampton Roads Pediatric Dentistry and Orthodontics, PLLC was paid $3.23M by Medicaid between Apr 2019 and Sep 2024, across 29 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
33Billing provider infoHAMPTON ROADS PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC
NEWPORT NEWS, VA 23606
NEWPORT NEWS, VA 23606
33aNPI1265823272assigned 02/12/2015
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$3.23M
24GClaims179,256
24DCodes billed29
24AFirst – last monthApr 2019 – Sep 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Virginia
Rank by total paid#4 of 70
Median peer was paid$87K
This provider vs. median37×
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 | |
|---|---|---|---|
| 2019 | 13,190 | $350K | |
| 2020 | 21,362 | $479K | |
| 2021 | 31,881 | $706K | |
| 2022 | 35,374 | $953K | |
| 2023 | 45,103 | $747K | |
| 2024incomplete | 32,346 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 27,998 | 27,678 | $688K |
| D1206 | Topical application of fluoride varnish | 14% | 27,430 | 27,079 | $450K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 29,631 | 29,264 | $435K |
| D1110 | Prophylaxis - adult | 9.3% | 8,436 | 8,304 | $300K |
| D0272 | Bitewings - two radiographic images | 7.0% | 14,716 | 14,530 | $227K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.3% | 7,112 | 7,025 | $170K |
| D9994 | 4.2% | 16,758 | 16,211 | $137K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.0% | 5,973 | 5,801 | $130K |
| D1208 | Topical application of fluoride, excluding varnish | 2.7% | 7,578 | 7,501 | $88K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.7% | 1,849 | 1,412 | $88K |
| D7140 | Extraction, erupted tooth or exposed root | 2.7% | 1,864 | 1,323 | $86K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 1,764 | 1,388 | $71K |
17 more codes
| D1351 | Sealant - per tooth | 2.0% | 4,856 | $64K |
| D0240 | 1.7% | 8,252 | $56K | |
| D0210 | Intraoral - complete series of radiographic images | 1.5% | 1,164 | $48K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 2,128 | $43K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 5,396 | $41K |
| D0330 | Panoramic radiographic image | <1% | 565 | $27K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 230 | $17K |
| D9630 | <1% | 1,526 | $17K | |
| D9248 | <1% | 139 | $14K | |
| D2140 | <1% | 204 | $12K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,321 | $8K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 90 | $5K |
| D9310 | <1% | 74 | $5K | |
| D1354 | <1% | 1,377 | $3K | |
| D0274 | Bitewings - four radiographic images | <1% | 390 | $3K |
| D9992 | <1% | 283 | $1K | |
| D3120 | 0% | 152 | $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 officialDAVIS, GRACE (BUSINESS ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Coliseum Pediatric Dentistry PLLC | Hampton, VA | $5.36M |
| Peninsula Pediatric Dentistry, P.C. | Newport News, VA | $2.72M |
| Hampton Roads Pediatric Dentistry and Orthodontics, PLLC | Chesapeake, VA | $1.00M |
| Red Mill Pediatric Dentistry, PLLC | Virginia Beach, VA | $470K |
| Hampton Roads Pediatric Dentistry and Orthodontics, PLLC | Yorktown, VA | $427K |
| Hampton Roads Pediatric Dentistry and Orthodontics, PLLC | Portsmouth, VA | $126K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.