Clinic
Liberia Dental Care PLLC
Liberia Dental Care PLLC was paid $60K by Medicaid between Jun 2022 and Sep 2024, across 10 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 20% of everything it billed.
33Billing provider infoLIBERIA DENTAL CARE PLLC
MANASSAS, VA 20110
MANASSAS, VA 20110
33aNPI1447884903assigned 02/24/2020
33bProvider typeDental Clinic/Center
28Total paid$60K
24GClaims4,120
24DCodes billed10
24AFirst – last monthJun 2022 – Sep 2024
Compared with peers
Next to other Dental Clinic/Center providers in Virginia
Rank by total paid#77 of 142
Median peer was paid$75K
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 | |
|---|---|---|---|
| 2022 | 867 | $23K | |
| 2023 | 2,031 | $37K | |
| 2024incomplete | 1,222 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 20% | 922 | 912 | $12K |
| D1110 | Prophylaxis - adult | 17% | 360 | 355 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 453 | 449 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 727 | 721 | $9K |
| D0274 | Bitewings - four radiographic images | 12% | 393 | 388 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.7% | 725 | 371 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.4% | 28 | 12 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 4.7% | 460 | 452 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.2% | 40 | 26 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 12 | 12 | $488.40 |
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 officialBABU, SRIDEVI (DENTIST)