Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Ismile of Manassas PLLC

Ismile of Manassas PLLC was paid $286K by Medicaid between Jan 2020 and Sep 2024, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 34% of everything it billed.

33Billing provider infoISMILE OF MANASSAS PLLC
MANASSAS, VA 20109
33aNPI1265902407assigned 11/30/2018
33bProvider typeDental Clinic/Center
28Total paid$286K
24GClaims8,947
24DCodes billed16
24AFirst – last monthJan 2020 – Sep 2024
Compared with peers

Next to other Dental Clinic/Center providers in Virginia

Rank by total paid#43 of 142
Median peer was paid$75K
This provider vs. median3.8×

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.

Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2020711$32K
20212,153$81K
20222,584$120K
20232,392$54K
2024incomplete1,107$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 34% 1,445 634 $97K
D1110 Prophylaxis - adult 14% 1,095 1,077 $39K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 9.8% 1,781 1,757 $28K
D1120 Dental cleaning, childProphylaxis - child 9.7% 959 947 $28K
D1206 Topical application of fluoride varnish 8.0% 1,288 1,278 $23K
D0150 Comprehensive oral evaluation - new or established patient 5.2% 607 580 $15K
D0274 Bitewings - four radiographic images 5.1% 777 759 $15K
D0330 Panoramic radiographic image 4.8% 257 235 $14K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.4% 115 73 $10K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 2.7% 79 40 $8K
D0210 Intraoral - complete series of radiographic images 2.3% 309 293 $6K
D1208 Topical application of fluoride, excluding varnish <1% 96 94 $2K
4 more codes
D0140 Limited oral evaluation - problem focused <1% 48 $1K
D0272 Bitewings - two radiographic images <1% 38 $818.15
D0220 Intraoral - periapical first radiographic image <1% 27 $316.35
D4910 0% 26 $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 officialRAFIQ, RABIA (OWNER)
Same official

Other billing entities under RAFIQ, RABIA

Full network →
ProviderLocationPaid
Rabia Rafiq DDS & Associates,pllcGainesville, VA$109K
Raja Rafiq & Associates DDS Fairfax PLLCFairfax, VA$24K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.