Dental
Lac, Josephina
Lac, Josephina was paid $177K by Medicaid between Apr 2019 and Mar 2024, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.
33Billing provider infoLAC, JOSEPHINA
GLEN ALLEN, VA 23060
GLEN ALLEN, VA 23060
33aNPI1417177379assigned 04/25/2007
33bProvider typePediatric Dentist
28Total paid$177K
24GClaims6,105
24DCodes billed19
24AFirst – last monthApr 2019 – Mar 2024
Compared with peers
Next to other Pediatric Dentist providers in Virginia
Rank by total paid#79 of 140
Median peer was paid$234K
This provider vs. median0.8×
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 | 86 | $3K | |
| 2020 | 295 | $11K | |
| 2021 | 342 | $8K | |
| 2022 | 2,346 | $113K | |
| 2023 | 2,621 | $42K | |
| 2024incomplete | 415 | $0.00 |
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 | 19% | 407 | 155 | $34K |
| D9920 | 18% | 646 | 478 | $32K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 11% | 198 | 100 | $19K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 9.2% | 644 | 432 | $16K |
| D1206 | Topical application of fluoride varnish | 6.7% | 792 | 781 | $12K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.4% | 487 | 479 | $11K |
| D9630 | 5.4% | 542 | 523 | $10K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.6% | 652 | 645 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.1% | 106 | 40 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 171 | 170 | $6K |
| D0274 | Bitewings - four radiographic images | 2.9% | 278 | 274 | $5K |
| D1110 | Prophylaxis - adult | 2.6% | 141 | 140 | $5K |
7 more codes
| D0140 | Limited oral evaluation - problem focused | 1.3% | 153 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 328 | $2K |
| D2394 | 1.0% | 26 | $2K | |
| D0240 | <1% | 225 | $2K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 61 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 221 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 27 | $621.66 |
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.