Dental
Coliseum Pediatric Dentistry PLLC
Coliseum Pediatric Dentistry PLLC was paid $5.36M by Medicaid between Jan 2018 and Sep 2024, across 31 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoCOLISEUM PEDIATRIC DENTISTRY PLLC
HAMPTON, VA 23666
HAMPTON, VA 23666
33aNPI1467771766assigned 05/26/2010
33bProvider typePediatric Dentist
28Total paid$5.36M
24GClaims223,563
24DCodes billed31
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Pediatric Dentist providers in Virginia
Rank by total paid#6 of 140
Median peer was paid$234K
This provider vs. median23×
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 | 27,778 | $810K | |
| 2019 | 29,672 | $885K | |
| 2020 | 29,778 | $735K | |
| 2021 | 38,428 | $999K | |
| 2022 | 36,583 | $1.22M | |
| 2023 | 38,113 | $712K | |
| 2024incomplete | 23,211 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 32,201 | 31,882 | $895K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 39,398 | 39,017 | $657K |
| D1206 | Topical application of fluoride varnish | 10% | 32,170 | 31,835 | $549K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 9.1% | 5,301 | 1,228 | $488K |
| D1110 | Prophylaxis - adult | 9.0% | 12,406 | 12,296 | $481K |
| D0272 | Bitewings - two radiographic images | 6.0% | 18,706 | 18,518 | $321K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.2% | 3,470 | 2,593 | $281K |
| D7140 | Extraction, erupted tooth or exposed root | 5.2% | 5,177 | 2,405 | $280K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.2% | 7,511 | 7,297 | $226K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 3,169 | 2,301 | $205K |
| D1208 | Topical application of fluoride, excluding varnish | 3.6% | 10,396 | 10,319 | $191K |
| D9994 | 2.8% | 18,215 | 17,616 | $149K |
19 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 4,843 | $129K |
| D1351 | Sealant - per tooth | 2.1% | 4,856 | $111K |
| D0210 | Intraoral - complete series of radiographic images | 1.5% | 2,054 | $82K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 9,082 | $77K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.0% | 7,223 | $54K |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,284 | $50K |
| D8670 | Periodic orthodontic treatment visit | <1% | 51 | $33K |
| D0330 | Panoramic radiographic image | <1% | 577 | $29K |
| D0274 | Bitewings - four radiographic images | <1% | 934 | $19K |
| D3120 | <1% | 986 | $14K | |
| D0240 | <1% | 1,604 | $13K | |
| D9310 | <1% | 108 | $8K | |
| D9920 | <1% | 113 | $8K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 69 | $6K |
| D1510 | <1% | 51 | $4K | |
| D9630 | <1% | 309 | $2K | |
| D9992 | <1% | 221 | $1K | |
| D9248 | 0% | 13 | $0.00 | |
| D9990 | 0% | 65 | $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 officialDAVIS, GRACE (BUSINESS ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Hampton Roads Pediatric Dentistry and Orthodontics, PLLC | Newport News, VA | $3.23M |
| Peninsula Pediatric Dentistry, P.C. | Newport News, VA | $2.72M |
| Hampton Roads Pediatric Dentistry and Orthodontics, PLLC | Chesapeake, VA | $1.00M |
| Red Mill Pediatric Dentistry, PLLC | Virginia Beach, VA | $470K |
| Hampton Roads Pediatric Dentistry and Orthodontics, PLLC | Yorktown, VA | $427K |
| Hampton Roads Pediatric Dentistry and Orthodontics, PLLC | Portsmouth, VA | $126K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.