Managed care
Springfield Orthodontic Associates, PLLC
Springfield Orthodontic Associates, PLLC was paid $277K by Medicaid between Jan 2018 and Sep 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.
33Billing provider infoSPRINGFIELD ORTHODONTIC ASSOCIATES, PLLC
SPRINGFIELD, VA 22150
SPRINGFIELD, VA 22150
33aNPI1316162456assigned 04/16/2007
33bProvider typePreferred Provider Organization
28Total paid$277K
24GClaims17,101
24DCodes billed18
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Preferred Provider Organization providers in Virginia
Rank by total paid#5 of 11
Median peer was paid$151K
This provider vs. median1.8×
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
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 | 747 | $18K | |
| 2019 | 1,328 | $31K | |
| 2020 | 1,713 | $40K | |
| 2021 | 2,428 | $60K | |
| 2022 | 2,814 | $75K | |
| 2023 | 3,974 | $53K | |
| 2024incomplete | 4,097 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 33% | 3,511 | 3,470 | $92K |
| D1206 | Topical application of fluoride varnish | 23% | 3,975 | 3,923 | $65K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 2,959 | 2,922 | $45K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.0% | 1,039 | 972 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.1% | 612 | 605 | $17K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.5% | 2,313 | 797 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 1,497 | 1,464 | $11K |
| D0272 | Bitewings - two radiographic images | 1.2% | 231 | 230 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.2% | 152 | 112 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 147 | 143 | $3K |
| D9310 | <1% | 41 | 41 | $2K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 171 | 108 | $966.00 |
6 more codes
| D1110 | Prophylaxis - adult | <1% | 63 | $566.28 |
| D1351 | Sealant - per tooth | 0% | 178 | $0.00 |
| D2930 | Prefabricated stainless steel crown - primary tooth | 0% | 97 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 72 | $0.00 |
| D9610 | 0% | 13 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 30 | $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 officialMCCABE, LUCY (ADMINISTRATOR)