Dental
Petersburg Family Dental PLLC
Petersburg Family Dental PLLC was paid $0.00 by Medicaid between Mar 2024 and Sep 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 0% of everything it billed.
33Billing provider infoPETERSBURG FAMILY DENTAL PLLC
SOUTH CHESTERFIELD, VA 23803
SOUTH CHESTERFIELD, VA 23803
33aNPI1558134650assigned 11/01/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$0.00
24GClaims1,068
24DCodes billed13
24AFirst – last monthMar 2024 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#493 of 549
Median peer was paid$29K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 1,068 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 0% | 108 | 108 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 12 | 12 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 115 | 66 | $0.00 |
| D7880 | 0% | 14 | 14 | $0.00 | |
| D2740 | Crown - porcelain/ceramic | 0% | 22 | 13 | $0.00 |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 0% | 44 | 14 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 47 | 46 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 150 | 141 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 155 | 155 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 205 | 205 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 44 | 44 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 12 | 12 | $0.00 |
1 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 140 | $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 officialERVIL, JIM (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Comfort Care Dental PLLC | Virginia Beach, VA | $111K |
| Denbigh Dental Care | Newport News, VA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.