Dental
Oak Tree Dental LLC
Oak Tree Dental LLC was paid $237K by Medicaid between Jul 2021 and Aug 2024, across 15 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 40% of everything it billed.
33Billing provider infoOAK TREE DENTAL LLC
MC LEAN, VA 22102
MC LEAN, VA 22102
33aNPI1316323546assigned 08/11/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$237K
24GClaims4,915
24DCodes billed15
24AFirst – last monthJul 2021 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#135 of 549
Median peer was paid$29K
This provider vs. median8.1×
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 | |
|---|---|---|---|
| 2021 | 544 | $35K | |
| 2022 | 1,847 | $131K | |
| 2023 | 1,984 | $71K | |
| 2024incomplete | 540 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 40% | 1,319 | 333 | $95K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 416 | 198 | $36K |
| D2740 | Crown - porcelain/ceramic | 13% | 46 | 28 | $30K |
| D1110 | Prophylaxis - adult | 7.3% | 641 | 633 | $17K |
| D0210 | Intraoral - complete series of radiographic images | 7.3% | 263 | 255 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 420 | 413 | $13K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.3% | 685 | 674 | $8K |
| D4342 | 1.8% | 88 | 30 | $4K | |
| D0274 | Bitewings - four radiographic images | 1.7% | 298 | 292 | $4K |
| D2950 | 1.5% | 45 | 27 | $3K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 350 | 342 | $2K |
| D4910 | <1% | 36 | 36 | $2K |
3 more codes
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 officialVADDI, KOWSHIK (OWNER/DENTIST)