Hampton Roads Family Dental Portmouth LLC

Hampton Roads Family Dental Portmouth LLC was paid $2K by Medicaid between Apr 2021 and Jun 2021, across 5 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 33% of everything it billed.

33Billing provider infoHAMPTON ROADS FAMILY DENTAL PORTMOUTH LLC
PORTSMOUTH, VA 23703

33aNPI1346846045assigned 12/08/2020

33bProvider typeGeneral Practice Dentistry

28Total paid$2K

24GClaims261

24DCodes billed5

24AFirst – last monthApr 2021 – Jun 2021

Compared with peers

Next to other General Practice Dentistry providers in Virginia

Rank by total paid#426 of 549

Median peer was paid$29K

This provider vs. median0.1×

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	261	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	33%	93	56	$720.07
D0274	Bitewings - four radiographic images	32%	49	27	$690.00
D0150	Comprehensive oral evaluation - new or established patient	20%	19	19	$438.34
D0330	Panoramic radiographic image	10.0%	24	17	$215.96
D0220	Intraoral - periapical first radiographic image	4.6%	76	41	$100.62

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 officialAMOAH, EMMANUEL (OWNER)