Reston Family Dentist Group PLLC

Reston Family Dentist Group PLLC was paid $14K by Medicaid between Aug 2018 and Jul 2024, across 8 billing codes. Its largest line is D2950, — 47% of everything it billed.

33Billing provider infoRESTON FAMILY DENTIST GROUP PLLC
RESTON, VA 20191

33aNPI1265884423assigned 07/12/2016

33bProvider typePeriodontist

28Total paid$14K

24GClaims522

24DCodes billed8

24AFirst – last monthAug 2018 – Jul 2024

Compared with peers

Next to other Periodontist providers in Virginia

Rank by total paid#5 of 8

Median peer was paid$14K

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	18	$320.32
2019	27	$134.16
2020	51	$731.25
2022	188	$11K
2023	212	$2K
2024incomplete	26	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2950		47%	47	24	$7K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	115	112	$2K
D1110	Prophylaxis - adult	9.5%	25	25	$1K
D0220	Intraoral - periapical first radiographic image	8.1%	229	194	$1K
D0150	Comprehensive oral evaluation - new or established patient	7.1%	29	28	$1K
D0210	Intraoral - complete series of radiographic images	6.2%	16	14	$881.59
D0140	Limited oral evaluation - problem focused	5.2%	48	42	$739.96
D1206	Topical application of fluoride varnish	1.9%	13	13	$270.27

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 officialMIAMEE, ALI (PRESIDENT)