Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VA › Ashburn › NPI 1538419791
Dental

Nova Children's Dentistry of Ashburn

Nova Children's Dentistry of Ashburn was paid $1.74M by Medicaid between Jan 2018 and Sep 2024, across 26 billing codes. Its largest line is D9920, — 17% of everything it billed.

33Billing provider infoNOVA CHILDREN'S DENTISTRY OF ASHBURN
ASHBURN, VA 20147
33aNPI1538419791assigned 09/14/2012
33bProvider typePediatric Dentist
28Total paid$1.74M
24GClaims63,074
24DCodes billed26
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Pediatric Dentist providers in Virginia

Rank by total paid#18 of 140
Median peer was paid$234K
This provider vs. median7.4×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20187,586$249K
20197,028$224K
20208,691$274K
202112,013$397K
202210,212$393K
202310,329$204K
2024incomplete7,215$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D9920 17% 5,017 4,746 $301K
D1120 Dental cleaning, childProphylaxis - child 14% 8,254 8,170 $239K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 12% 2,748 1,601 $200K
D1206 Topical application of fluoride varnish 11% 11,208 11,093 $199K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 9.8% 9,980 9,878 $170K
D1110 Prophylaxis - adult 6.1% 2,807 2,779 $107K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 5.8% 3,548 3,258 $101K
D2391 Resin-based composite - one surface, posterior, primary or permanent 5.6% 1,653 1,163 $97K
D1351 Sealant - per tooth 3.7% 3,156 1,029 $65K
D0272 Bitewings - two radiographic images 3.5% 3,483 3,448 $61K
D0150 Comprehensive oral evaluation - new or established patient 1.9% 1,093 1,081 $33K
D7140 Extraction, erupted tooth or exposed root 1.8% 531 318 $31K
14 more codes
D0220 Intraoral - periapical first radiographic image 1.6% 3,111 $28K
D0274 Bitewings - four radiographic images 1.6% 1,296 $28K
D0240 1.3% 2,165 $22K
D0230 Intraoral - periapical each additional radiographic image <1% 1,809 $14K
D2930 Prefabricated stainless steel crown - primary tooth <1% 96 $14K
D4346 <1% 140 $7K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 73 $6K
D0140 Limited oral evaluation - problem focused <1% 250 $6K
D8670 Periodic orthodontic treatment visit <1% 12 $5K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 35 $4K
D0330 Panoramic radiographic image <1% 241 $2K
D3120 <1% 254 $1K
D1354 <1% 102 $528.00
D0210 Intraoral - complete series of radiographic images <1% 12 $517.67

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 officialSETHI, NAVIN (DIRECTOR)