Clinic
TJB of Dulles, LLC
TJB of Dulles, LLC was paid $474K by Medicaid between Jan 2018 and Sep 2024, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoTJB OF DULLES, LLC
DULLES, VA 20166
DULLES, VA 20166
33aNPI1457720302assigned 09/22/2015
33bProvider typeDental Clinic/Center
28Total paid$474K
24GClaims18,757
24DCodes billed14
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Dental Clinic/Center providers in Virginia
Rank by total paid#36 of 142
Median peer was paid$75K
This provider vs. median6.4×
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 | |
|---|---|---|---|
| 2018 | 1,511 | $42K | |
| 2019 | 1,966 | $51K | |
| 2020 | 2,468 | $71K | |
| 2021 | 3,353 | $103K | |
| 2022 | 3,484 | $120K | |
| 2023 | 3,906 | $88K | |
| 2024incomplete | 2,069 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 3,900 | 3,841 | $108K |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 4,533 | 4,471 | $78K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 3,945 | 3,891 | $65K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 12% | 863 | 482 | $56K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 694 | 425 | $53K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 9.8% | 1,643 | 1,431 | $46K |
| D0272 | Bitewings - two radiographic images | 4.8% | 1,368 | 1,345 | $23K |
| D1110 | Prophylaxis - adult | 3.0% | 371 | 369 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 411 | 407 | $12K |
| D1351 | Sealant - per tooth | 2.2% | 330 | 122 | $10K |
| D0274 | Bitewings - four radiographic images | <1% | 157 | 155 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 388 | 366 | $3K |
2 more codes
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 officialNICHOLS, KERRI (REGIONAL DIRECTOR)