Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Crozet Pediatric Dentistry, PC

Crozet Pediatric Dentistry, PC was paid $487K by Medicaid between Jan 2018 and Sep 2024, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 31% of everything it billed.

33Billing provider infoCROZET PEDIATRIC DENTISTRY, PC
CROZET, VA 22932
33aNPI1447699277assigned 06/14/2013
33bProvider typePediatric Dentist
28Total paid$487K
24GClaims20,960
24DCodes billed13
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Pediatric Dentist providers in Virginia

Rank by total paid#51 of 140
Median peer was paid$234K
This provider vs. median2.1×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20182,226$58K
20192,877$73K
20203,132$83K
20213,782$102K
20223,648$106K
20233,490$66K
2024incomplete1,805$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 31% 5,145 5,095 $150K
D1206 Topical application of fluoride varnish 23% 6,315 6,260 $114K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 20% 5,640 5,586 $97K
D1110 Prophylaxis - adult 8.7% 1,057 1,052 $42K
D0272 Bitewings - two radiographic images 4.8% 1,401 1,383 $23K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3.6% 205 126 $17K
D0330 Panoramic radiographic image 2.0% 217 216 $10K
D1351 Sealant - per tooth 1.9% 280 76 $9K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1.7% 114 49 $8K
D0150 Comprehensive oral evaluation - new or established patient 1.7% 275 275 $8K
D0210 Intraoral - complete series of radiographic images <1% 110 110 $4K
D0274 Bitewings - four radiographic images <1% 111 111 $2K
1 more codes
D9630 <1% 90 $1K

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 officialCLIFFORD, KEVIN (PRESIDENT/PEDIATRIC DENTIST)