Clinic
Falls Church Pediatric Dental Center
Falls Church Pediatric Dental Center was paid $3.19M by Medicaid between Jan 2018 and Sep 2024, across 26 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoFALLS CHURCH PEDIATRIC DENTAL CENTER
FALLS CHURCH, VA 22042
FALLS CHURCH, VA 22042
33aNPI1285040212assigned 07/10/2014
33bProvider typeDental Clinic/Center
28Total paid$3.19M
24GClaims129,592
24DCodes billed26
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Dental Clinic/Center providers in Virginia
Rank by total paid#6 of 142
Median peer was paid$75K
This provider vs. median43×
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 | 9,890 | $300K | |
| 2019 | 12,909 | $385K | |
| 2020 | 13,001 | $461K | |
| 2021 | 19,443 | $705K | |
| 2022 | 23,338 | $821K | |
| 2023 | 31,068 | $521K | |
| 2024incomplete | 19,943 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 20,469 | 20,302 | $550K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 6,946 | 3,453 | $485K |
| D1206 | Topical application of fluoride varnish | 12% | 23,260 | 23,072 | $386K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.7% | 19,523 | 19,359 | $310K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.3% | 2,568 | 1,246 | $266K |
| D0240 | 5.3% | 17,227 | 8,636 | $168K | |
| D9920 | 4.3% | 2,205 | 2,182 | $139K | |
| D0272 | Bitewings - two radiographic images | 3.2% | 6,336 | 6,275 | $102K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 3,390 | 3,374 | $91K |
| D7140 | Extraction, erupted tooth or exposed root | 2.8% | 1,601 | 952 | $89K |
| D1351 | Sealant - per tooth | 2.7% | 3,791 | 1,190 | $86K |
| D1110 | Prophylaxis - adult | 2.4% | 2,289 | 2,275 | $78K |
14 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.1% | 3,084 | $66K |
| D2335 | 1.8% | 462 | $58K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.8% | 745 | $56K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 919 | $53K |
| D0330 | Panoramic radiographic image | 1.4% | 1,063 | $46K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 1,882 | $37K |
| D9994 | 1.1% | 8,806 | $34K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 295 | $30K |
| D9420 | <1% | 333 | $20K | |
| D0274 | Bitewings - four radiographic images | <1% | 1,188 | $20K |
| D9310 | <1% | 144 | $10K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 839 | $7K |
| D1354 | <1% | 160 | $4K | |
| D3120 | <1% | 67 | $1K |
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 officialGICHANA, ROSELYNE (MANAGER/PEDIATRIC DENTIST)