Dental
Pediatric Dental Care of Virginia
Pediatric Dental Care of Virginia was paid $1.14M by Medicaid between Jan 2018 and Mar 2019, across 28 billing codes. Its largest line is D1120, dental cleaning, child — 13% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL CARE OF VIRGINIA
COLLINSVILLE, VA 24078
COLLINSVILLE, VA 24078
33aNPI1366654808assigned 05/04/2007
33bProvider typePediatric Dentist
28Total paid$1.14M
24GClaims28,355
24DCodes billed28
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Pediatric Dentist providers in Virginia
Rank by total paid#31 of 140
Median peer was paid$234K
This provider vs. median4.9×
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 | 23,450 | $934K | |
| 2019 | 4,905 | $202K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 4,543 | 4,543 | $152K |
| D8670 | Periodic orthodontic treatment visit | 13% | 354 | 354 | $150K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.8% | 730 | 393 | $100K |
| D1206 | Topical application of fluoride varnish | 6.6% | 3,598 | 3,598 | $75K |
| D9920 | 6.5% | 1,076 | 1,033 | $74K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.5% | 697 | 467 | $62K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.2% | 1,765 | 1,662 | $60K |
| D1351 | Sealant - per tooth | 5.2% | 1,823 | 542 | $59K |
| D7140 | Extraction, erupted tooth or exposed root | 5.1% | 855 | 493 | $58K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.1% | 2,886 | 2,886 | $58K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.5% | 692 | 489 | $51K |
| D1110 | Prophylaxis - adult | 3.8% | 919 | 919 | $43K |
16 more codes
| D1208 | Topical application of fluoride, excluding varnish | 3.3% | 1,787 | $37K |
| D0272 | Bitewings - two radiographic images | 3.3% | 1,839 | $37K |
| D0210 | Intraoral - complete series of radiographic images | 1.9% | 359 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 651 | $20K |
| D0140 | Limited oral evaluation - problem focused | 1.8% | 802 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 1,060 | $12K |
| D3120 | 1.0% | 639 | $12K | |
| D8660 | <1% | 43 | $8K | |
| D0240 | <1% | 576 | $7K | |
| D2940 | <1% | 119 | $5K | |
| D2330 | <1% | 41 | $3K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 266 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 100 | $3K |
| D9310 | <1% | 32 | $3K | |
| D0330 | Panoramic radiographic image | <1% | 42 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 61 | $1K |
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 officialBROWN, GABRIEL (PRESIDENT)