Clinic
Piedmont Pediatric Dentistry PLC
Piedmont Pediatric Dentistry PLC was paid $435K by Medicaid between Jan 2018 and Dec 2022, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.
33Billing provider infoPIEDMONT PEDIATRIC DENTISTRY PLC
CHARLOTTESVILLE, VA 22901
CHARLOTTESVILLE, VA 22901
33aNPI1497187769assigned 08/08/2013
33bProvider typeDental Clinic/Center
28Total paid$435K
24GClaims16,396
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Dental Clinic/Center providers in Virginia
Rank by total paid#37 of 142
Median peer was paid$75K
This provider vs. median5.8×
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 | |
|---|---|---|---|
| 2018 | 3,743 | $98K | |
| 2019 | 4,094 | $109K | |
| 2020 | 2,667 | $67K | |
| 2021 | 3,267 | $86K | |
| 2022 | 2,625 | $75K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 29% | 3,823 | 3,797 | $127K |
| D1206 | Topical application of fluoride varnish | 21% | 4,429 | 4,397 | $92K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 3,825 | 3,795 | $77K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 7.4% | 953 | 898 | $32K |
| D0272 | Bitewings - two radiographic images | 6.9% | 1,491 | 1,481 | $30K |
| D1110 | Prophylaxis - adult | 5.5% | 493 | 487 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 603 | 601 | $18K |
| D0330 | Panoramic radiographic image | 2.1% | 172 | 172 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 103 | 76 | $8K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.4% | 51 | 13 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | 1.1% | 72 | 50 | $5K |
| D0274 | Bitewings - four radiographic images | <1% | 107 | 107 | $3K |
3 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 officialPETERS, BARRETT (MEMBER/MANAGER)