Dental
Bogollagama, Nirmal
Bogollagama, Nirmal was paid $61K by Medicaid between Mar 2019 and Aug 2019, across 12 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.
33Billing provider infoBOGOLLAGAMA, NIRMAL
MANASSAS, VA 20109
MANASSAS, VA 20109
33aNPI1407183478assigned 11/11/2009
33bProvider typeDentist
28Total paid$61K
24GClaims3,384
24DCodes billed12
24AFirst – last monthMar 2019 – Aug 2019
Compared with peers
Next to other Dentist providers in Virginia
Rank by total paid#170 of 417
Median peer was paid$34K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2019 | 3,384 | $61K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 104 | 54 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 14% | 997 | 480 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 245 | 245 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 360 | 360 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 474 | 471 | $7K |
| D1110 | Prophylaxis - adult | 9.0% | 139 | 138 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 8.3% | 561 | 555 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.0% | 242 | 242 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.8% | 58 | 27 | $4K |
| D0274 | Bitewings - four radiographic images | 4.1% | 108 | 108 | $3K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 54 | 54 | $695.24 |
| D0272 | Bitewings - two radiographic images | 1.0% | 42 | 42 | $644.80 |
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.