Dental
Hero Pediatric Dentistry PLLC
Hero Pediatric Dentistry PLLC was paid $133K by Medicaid between Jul 2022 and Sep 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoHERO PEDIATRIC DENTISTRY PLLC
HERNDON, VA 20170
HERNDON, VA 20170
33aNPI1528711611assigned 01/31/2022
33bProvider typePediatric Dentist
28Total paid$133K
24GClaims8,568
24DCodes billed18
24AFirst – last monthJul 2022 – Sep 2024
Compared with peers
Next to other Pediatric Dentist providers in Virginia
Rank by total paid#85 of 140
Median peer was paid$234K
This provider vs. median0.6×
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 | 1,693 | $56K | |
| 2023 | 4,032 | $77K | |
| 2024incomplete | 2,843 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 1,390 | 1,375 | $26K |
| D1206 | Topical application of fluoride varnish | 17% | 1,950 | 1,930 | $23K |
| D1110 | Prophylaxis - adult | 13% | 530 | 525 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,361 | 1,347 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.2% | 384 | 379 | $10K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 7.0% | 337 | 300 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.4% | 92 | 56 | $9K |
| D0274 | Bitewings - four radiographic images | 4.1% | 242 | 241 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 427 | 419 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.5% | 388 | 327 | $5K |
| D0272 | Bitewings - two radiographic images | 3.2% | 347 | 342 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.2% | 44 | 31 | $4K |
6 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 officialDEVINE, AMANDA (OFFICE MANAGER)