Dental
Massanutten Dental Team and Oral Surgery
Massanutten Dental Team and Oral Surgery was paid $774K by Medicaid between Jan 2019 and Feb 2023, across 28 billing codes. Its largest line is D9223, Deep sedation/general anesthesia - each subsequent 15 minute increment — 36% of everything it billed.
33Billing provider infoMASSANUTTEN DENTAL TEAM AND ORAL SURGERY
ROCKINGHAM, VA 22801
ROCKINGHAM, VA 22801
33aNPI1295202844assigned 10/31/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$774K
24GClaims19,024
24DCodes billed28
24AFirst – last monthJan 2019 – Feb 2023
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#52 of 549
Median peer was paid$29K
This provider vs. median26×
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 | |
|---|---|---|---|
| 2019 | 11,267 | $342K | |
| 2020 | 1,732 | $93K | |
| 2021 | 2,887 | $151K | |
| 2022 | 2,632 | $151K | |
| 2023 | 506 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 36% | 4,159 | 672 | $276K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.9% | 734 | 461 | $61K |
| D9222 | 5.6% | 661 | 652 | $43K | |
| D9310 | 4.6% | 428 | 426 | $36K | |
| D7140 | Extraction, erupted tooth or exposed root | 4.3% | 495 | 198 | $33K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.2% | 245 | 64 | $32K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.0% | 979 | 979 | $31K |
| D1206 | Topical application of fluoride varnish | 3.7% | 1,462 | 1,461 | $29K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.4% | 2,462 | 898 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.3% | 1,327 | 1,326 | $25K |
| D1110 | Prophylaxis - adult | 2.9% | 496 | 495 | $23K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 262 | 207 | $18K |
16 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.3% | 571 | $18K |
| D1351 | Sealant - per tooth | 2.1% | 541 | $16K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 1,258 | $14K |
| D0210 | Intraoral - complete series of radiographic images | 1.6% | 662 | $12K |
| D7240 | Removal of impacted tooth - completely bony | 1.2% | 39 | $10K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.2% | 83 | $10K |
| D0274 | Bitewings - four radiographic images | 1.1% | 308 | $8K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.1% | 66 | $8K |
| D0272 | Bitewings - two radiographic images | <1% | 397 | $8K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 89 | $7K |
| D0240 | <1% | 547 | $6K | |
| D0330 | Panoramic radiographic image | <1% | 98 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 174 | $5K |
| D9612 | <1% | 128 | $5K | |
| D9610 | <1% | 241 | $5K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 112 | $3K |
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 officialGOLLADAY, JACKIE (INSURANCE COORDINATOR)