Clinic
Southern Dominion Health System, INC.
Southern Dominion Health System, INC. was paid $37K by Medicaid between Jan 2018 and Aug 2019, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 21% of everything it billed.
33Billing provider infoSOUTHERN DOMINION HEALTH SYSTEM, INC.
VICTORIA, VA 23974
VICTORIA, VA 23974
33aNPI1396995940assigned 09/19/2008
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$37K
24GClaims1,594
24DCodes billed12
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Virginia
Rank by total paid#120 of 145
Median peer was paid$338K
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 | |
|---|---|---|---|
| 2018 | 617 | $14K | |
| 2019 | 977 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 21% | 189 | 175 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | 16% | 160 | 37 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 257 | 179 | $5K |
| D0140 | Limited oral evaluation - problem focused | 12% | 279 | 191 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.8% | 109 | 108 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 7.6% | 136 | 135 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.4% | 140 | 138 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 3.8% | 201 | 134 | $1K |
| D1206 | Topical application of fluoride varnish | 3.1% | 56 | 56 | $1K |
| D0274 | Bitewings - four radiographic images | 2.8% | 39 | 39 | $1K |
| D0330 | Panoramic radiographic image | 1.2% | 16 | 13 | $431.92 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 12 | 12 | $359.55 |
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 officialKING, APRIL (CEO)
Parent organizationSOUTHERN DOMINION HEALTH SYSTEM, INC.
| Provider | Location | Paid |
|---|---|---|
| Southern Dominion Health System, INC. | Victoria, VA | $829K |
| Southern Dominion Health System, INC. | Victoria, VA | $810K |
| Southern Dominion Health System, INC. | Dinwiddie, VA | $802K |
| Southern Dominion Health System, INC. | Amelia Court House, VA | $574K |
| Southern Dominion Health System, INC. | Emporia, VA | $338K |
| DR. April R. King, Od, LLC | Rainbow City, AL | $54K |
| Southern Dominion Health System, INC. | Victoria, VA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.