Managed care
Let's Smile of Fairfax PLLC
Let's Smile of Fairfax PLLC was paid $384K by Medicaid between Jan 2018 and Sep 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.
33Billing provider infoLET'S SMILE OF FAIRFAX PLLC
FAIRFAX, VA 22030
FAIRFAX, VA 22030
33aNPI1386910529assigned 03/30/2012
33bProvider typePoint of Service
28Total paid$384K
24GClaims19,243
24DCodes billed18
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Point of Service providers in Virginia
Rank by total paid#3 of 9
Median peer was paid$99K
This provider vs. median3.9×
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 | 1,895 | $46K | |
| 2019 | 2,197 | $52K | |
| 2020 | 1,814 | $46K | |
| 2021 | 2,103 | $54K | |
| 2022 | 3,613 | $113K | |
| 2023 | 4,613 | $73K | |
| 2024incomplete | 3,008 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 3,678 | 3,652 | $102K |
| D1206 | Topical application of fluoride varnish | 20% | 4,436 | 4,405 | $77K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 3,459 | 3,447 | $57K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 678 | 376 | $40K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.5% | 844 | 752 | $21K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 680 | 664 | $18K |
| D1110 | Prophylaxis - adult | 4.3% | 437 | 437 | $17K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.8% | 2,452 | 817 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 1,250 | 1,233 | $9K |
| D0272 | Bitewings - two radiographic images | 2.1% | 474 | 474 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | 1.7% | 175 | 92 | $6K |
| D0140 | Limited oral evaluation - problem focused | 1.4% | 253 | 231 | $5K |
6 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 126 | $5K |
| D1351 | Sealant - per tooth | <1% | 185 | $2K |
| D9920 | <1% | 12 | $822.00 | |
| D0274 | Bitewings - four radiographic images | <1% | 40 | $745.20 |
| D2930 | Prefabricated stainless steel crown - primary tooth | 0% | 52 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 12 | $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 officialGHATRI, ALI (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Let's Smile of Herndon, PLLC | Herndon, VA | $65K |
| Let's Smile of Centreville, PLLC | Centreville, VA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.