Dental
Restrepo, Monica
Restrepo, Monica was paid $0.00 by Medicaid between Jan 2024 and Jan 2024, across 8 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 0% of everything it billed.
33Billing provider infoRESTREPO, MONICA
LEESBURG, VA 20176
LEESBURG, VA 20176
33aNPI1396126827assigned 06/10/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$0.00
24GClaims196
24DCodes billed8
24AFirst – last monthJan 2024 – Jan 2024
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#493 of 549
Median peer was paid$29K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 196 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 19 | 19 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 32 | 12 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 18 | 18 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 39 | 39 | $0.00 |
| D0240 | 0% | 33 | 17 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 15 | 15 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 12 | 12 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 28 | 28 | $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.