Dental
Southside Family and Cosmetic Dentistry
Southside Family and Cosmetic Dentistry was paid $5K by Medicaid between Jan 2018 and Mar 2018, across 5 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 31% of everything it billed.
33Billing provider infoSOUTHSIDE FAMILY AND COSMETIC DENTISTRY
COLONIAL HEIGHTS, VA 23834
COLONIAL HEIGHTS, VA 23834
33aNPI1295008985assigned 02/12/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$5K
24GClaims204
24DCodes billed5
24AFirst – last monthJan 2018 – Mar 2018
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#395 of 549
Median peer was paid$29K
This provider vs. median0.2×
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 | 204 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 31% | 75 | 75 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 38 | 38 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 56 | 56 | $1K |
| D1110 | Prophylaxis - adult | 12% | 14 | 14 | $574.47 |
| D9630 | 8.9% | 21 | 21 | $417.27 |
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 officialPARRIS-WILKINS, TONYA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Bland Ministry Center and Dental Clinic | Wytheville, VA | $306K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.