Dental
Augusta Regional Dental Clinic
Augusta Regional Dental Clinic was paid $2.23M by Medicaid between Jan 2018 and Sep 2024, across 26 billing codes. Its largest line is D1110, Prophylaxis - adult — 14% of everything it billed.
33Billing provider infoAUGUSTA REGIONAL DENTAL CLINIC
FISHERSVILLE, VA 22939
FISHERSVILLE, VA 22939
33aNPI1548223753assigned 04/10/2006
33bProvider typePublic Health Dentist
28Total paid$2.23M
24GClaims112,656
24DCodes billed26
24AFirst – last monthJan 2018 – Sep 2024
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 | 11,452 | $302K | |
| 2019 | 21,998 | $417K | |
| 2020 | 10,636 | $251K | |
| 2021 | 16,895 | $373K | |
| 2022 | 17,423 | $498K | |
| 2023 | 23,484 | $384K | |
| 2024incomplete | 10,768 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 14% | 8,228 | 8,045 | $301K |
| D1208 | Topical application of fluoride, excluding varnish | 9.0% | 11,715 | 11,641 | $200K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.2% | 11,664 | 11,499 | $183K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.2% | 7,974 | 7,108 | $183K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.0% | 6,379 | 6,334 | $177K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 7.4% | 2,667 | 1,988 | $164K |
| D7140 | Extraction, erupted tooth or exposed root | 6.1% | 2,977 | 1,066 | $136K |
| D0274 | Bitewings - four radiographic images | 5.9% | 6,326 | 6,186 | $130K |
| D9630 | 5.6% | 7,555 | 7,479 | $125K | |
| D0230 | Intraoral - periapical each additional radiographic image | 5.3% | 17,274 | 4,128 | $119K |
| D0330 | Panoramic radiographic image | 4.5% | 2,687 | 1,933 | $99K |
| D1351 | Sealant - per tooth | 3.3% | 2,702 | 792 | $73K |
14 more codes
| D0210 | Intraoral - complete series of radiographic images | 3.1% | 8,750 | $69K |
| D2140 | 2.6% | 1,163 | $58K | |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 7,315 | $53K |
| D0272 | Bitewings - two radiographic images | 2.2% | 2,912 | $49K |
| D0140 | Limited oral evaluation - problem focused | 2.1% | 2,741 | $47K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.3% | 944 | $28K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 115 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 122 | $7K |
| D2331 | <1% | 141 | $6K | |
| D2160 | <1% | 80 | $4K | |
| D2332 | <1% | 32 | $2K | |
| D3120 | <1% | 157 | $2K | |
| D2330 | <1% | 24 | $1K | |
| D4346 | 0% | 12 | $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 officialLITTEN, SCOTT (EXECUTIVE DIRECTOR)