Dental
Columbia Pike Family Dentistry
Columbia Pike Family Dentistry was paid $11K by Medicaid between Jun 2018 and Aug 2024, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 40% of everything it billed.
33Billing provider infoCOLUMBIA PIKE FAMILY DENTISTRY
ARLINGTON, VA 22204
ARLINGTON, VA 22204
33aNPI1497029631assigned 03/06/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$11K
24GClaims589
24DCodes billed5
24AFirst – last monthJun 2018 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#349 of 549
Median peer was paid$29K
This provider vs. median0.4×
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 | 45 | $1K | |
| 2019 | 49 | $1K | |
| 2021 | 70 | $1K | |
| 2022 | 187 | $5K | |
| 2023 | 167 | $2K | |
| 2024incomplete | 71 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 40% | 247 | 247 | $4K |
| D1206 | Topical application of fluoride varnish | 35% | 238 | 238 | $4K |
| D1110 | Prophylaxis - adult | 13% | 50 | 50 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.5% | 24 | 24 | $804.48 |
| D0274 | Bitewings - four radiographic images | 4.1% | 30 | 30 | $441.60 |
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 officialGOEL, SANJEEV (OWNER)