Dental
SBK DDS PC
SBK DDS PC was paid $280K by Medicaid between Jan 2018 and Sep 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 16% of everything it billed.
33Billing provider infoSBK DDS PC
ALEXANDRIA, VA 22312
ALEXANDRIA, VA 22312
33aNPI1275806226assigned 02/21/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$280K
24GClaims13,905
24DCodes billed14
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#123 of 549
Median peer was paid$29K
This provider vs. median9.5×
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 | 412 | $10K | |
| 2019 | 1,095 | $20K | |
| 2020 | 853 | $16K | |
| 2021 | 2,541 | $62K | |
| 2022 | 3,786 | $112K | |
| 2023 | 3,664 | $61K | |
| 2024incomplete | 1,554 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 16% | 1,248 | 1,222 | $45K |
| D9110 | 12% | 945 | 933 | $34K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 1,955 | 1,922 | $29K |
| D0220 | Intraoral - periapical first radiographic image | 9.4% | 3,020 | 2,437 | $26K |
| D0274 | Bitewings - four radiographic images | 9.3% | 1,191 | 1,171 | $26K |
| D0330 | Panoramic radiographic image | 7.2% | 394 | 363 | $20K |
| D1208 | Topical application of fluoride, excluding varnish | 7.1% | 1,085 | 1,063 | $20K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.0% | 2,142 | 1,675 | $20K |
| D4341 | 6.1% | 298 | 85 | $17K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.0% | 632 | 545 | $17K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.6% | 505 | 496 | $16K |
| D4910 | 1.8% | 238 | 237 | $5K |
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 officialKUMRA, SHAWN (OWNER)