Dental
WV Pediatric Dentistry PLLC
WV Pediatric Dentistry PLLC was paid $2.05M by Medicaid between Jul 2022 and Dec 2024, across 26 billing codes. Its largest line is D1120, dental cleaning, child — 12% of everything it billed.
33Billing provider infoWV PEDIATRIC DENTISTRY PLLC
MARTINSBURG, WV 25401
MARTINSBURG, WV 25401
33aNPI1427709682assigned 01/10/2022
33bProvider typePediatric Dentist
28Total paid$2.05M
24GClaims46,815
24DCodes billed26
24AFirst – last monthJul 2022 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in West Virginia
Rank by total paid#7 of 17
Median peer was paid$288K
This provider vs. median7.1×
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 | |
|---|---|---|---|
| 2022 | 4,506 | $209K | |
| 2023 | 18,214 | $860K | |
| 2024incomplete | 24,095 | $982K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 5,730 | 5,516 | $237K |
| D1351 | Sealant - per tooth | 11% | 7,635 | 1,280 | $230K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.9% | 1,760 | 1,047 | $203K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.7% | 1,499 | 545 | $178K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.5% | 1,648 | 897 | $153K |
| D1206 | Topical application of fluoride varnish | 7.1% | 6,859 | 6,593 | $145K |
| D0330 | Panoramic radiographic image | 7.0% | 2,104 | 2,018 | $145K |
| D7140 | Extraction, erupted tooth or exposed root | 5.7% | 1,497 | 743 | $118K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.0% | 3,880 | 3,749 | $103K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.4% | 2,259 | 2,070 | $90K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.1% | 2,283 | 2,197 | $84K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 4.0% | 939 | 446 | $82K |
14 more codes
| D0140 | Limited oral evaluation - problem focused | 3.5% | 1,947 | $72K |
| D0272 | Bitewings - two radiographic images | 3.4% | 2,739 | $69K |
| D1110 | Prophylaxis - adult | 3.1% | 1,114 | $63K |
| D0274 | Bitewings - four radiographic images | 1.5% | 777 | $30K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 558 | $15K |
| D1354 | <1% | 241 | $13K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 473 | $6K |
| D9420 | <1% | 145 | $5K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 586 | $4K |
| D1510 | <1% | 19 | $3K | |
| D2330 | <1% | 38 | $3K | |
| D0350 | <1% | 45 | $520.00 | |
| D1310 | 0% | 23 | $0.00 | |
| D1330 | 0% | 17 | $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 officialRAJAGOPAL, IIAYA (OWNER)