Dental
Peninsula Pediatric Dentistry, P.C.
Peninsula Pediatric Dentistry, P.C. was paid $2.72M by Medicaid between Jan 2018 and Sep 2024, across 31 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.
33Billing provider infoPENINSULA PEDIATRIC DENTISTRY, P.C.
NEWPORT NEWS, VA 23606
NEWPORT NEWS, VA 23606
33aNPI1548477649assigned 05/17/2007
33bProvider typePediatric Dentist
28Total paid$2.72M
24GClaims137,671
24DCodes billed31
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Pediatric Dentist providers in Virginia
Rank by total paid#14 of 140
Median peer was paid$234K
This provider vs. median12×
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 | 12,453 | $363K | |
| 2019 | 13,025 | $335K | |
| 2020 | 16,723 | $389K | |
| 2021 | 27,505 | $588K | |
| 2022 | 26,565 | $669K | |
| 2023 | 25,732 | $378K | |
| 2024incomplete | 15,668 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 24,180 | 23,925 | $643K |
| D1206 | Topical application of fluoride varnish | 16% | 26,051 | 25,771 | $442K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 23,927 | 23,681 | $376K |
| D0272 | Bitewings - two radiographic images | 6.7% | 10,905 | 10,751 | $182K |
| D1110 | Prophylaxis - adult | 5.6% | 4,331 | 4,290 | $153K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 4,807 | 4,756 | $127K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.2% | 4,357 | 4,214 | $115K |
| D9994 | 4.1% | 13,473 | 13,013 | $111K | |
| D7140 | Extraction, erupted tooth or exposed root | 3.5% | 1,557 | 938 | $94K |
| D1351 | Sealant - per tooth | 2.9% | 3,014 | 964 | $80K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.3% | 905 | 628 | $62K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 6,724 | 6,626 | $62K |
19 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.1% | 1,028 | $57K |
| D9630 | 1.4% | 2,308 | $37K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 3,945 | $36K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.1% | 252 | $31K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 734 | $25K |
| D0140 | Limited oral evaluation - problem focused | <1% | 712 | $15K |
| D0330 | Panoramic radiographic image | <1% | 253 | $13K |
| D9990 | <1% | 654 | $13K | |
| D9310 | <1% | 140 | $12K | |
| D9248 | <1% | 73 | $8K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,121 | $7K |
| D0240 | <1% | 862 | $7K | |
| D1355 | <1% | 111 | $4K | |
| D3120 | <1% | 168 | $3K | |
| D1510 | <1% | 21 | $3K | |
| D9992 | <1% | 357 | $3K | |
| D9920 | <1% | 18 | $1K | |
| D0274 | Bitewings - four radiographic images | <1% | 165 | $761.76 |
| D1354 | <1% | 518 | $468.00 |
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 officialDAVIS, GRACE (BUSINESS ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Coliseum Pediatric Dentistry PLLC | Hampton, VA | $5.36M |
| Hampton Roads Pediatric Dentistry and Orthodontics, PLLC | Newport News, VA | $3.23M |
| Hampton Roads Pediatric Dentistry and Orthodontics, PLLC | Chesapeake, VA | $1.00M |
| Red Mill Pediatric Dentistry, PLLC | Virginia Beach, VA | $470K |
| Hampton Roads Pediatric Dentistry and Orthodontics, PLLC | Yorktown, VA | $427K |
| Hampton Roads Pediatric Dentistry and Orthodontics, PLLC | Portsmouth, VA | $126K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.