Clisso Dentistry PC

Clisso Dentistry PC was paid $63K by Medicaid between Jan 2018 and Oct 2019, across 9 billing codes. Its largest line is D9630, — 21% of everything it billed.

33Billing provider infoCLISSO DENTISTRY PC
NORTON, VA 24273

33aNPI1336275973assigned 02/26/2007

33bProvider typeDentist

28Total paid$63K

24GClaims2,855

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2019

Compared with peers

Next to other Dentist providers in Virginia

Rank by total paid#168 of 417

Median peer was paid$34K

This provider vs. median1.9×

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	1,729	$38K
2019	1,126	$25K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9630		21%	670	670	$13K
D1208	Topical application of fluoride, excluding varnish	19%	573	573	$12K
D1120	Dental cleaning, childProphylaxis - child	15%	293	293	$10K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	459	459	$9K
D1110	Prophylaxis - adult	14%	191	191	$9K
D0274	Bitewings - four radiographic images	4.7%	110	110	$3K
D0220	Intraoral - periapical first radiographic image	4.3%	247	245	$3K
D0230	Intraoral - periapical each additional radiographic image	4.1%	241	202	$3K
D0150	Comprehensive oral evaluation - new or established patient	3.5%	71	71	$2K

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 officialCLISSO, MONICA (OWNER OPERATOR DENTIST)