Dental
Impact Dental Care Woodbridge, PLLC
Impact Dental Care Woodbridge, PLLC was paid $2K by Medicaid between Mar 2023 and Aug 2024, across 15 billing codes. Its largest line is D0330, Panoramic radiographic image — 66% of everything it billed.
33Billing provider infoIMPACT DENTAL CARE WOODBRIDGE, PLLC
WOODBRIDGE, VA 22191
WOODBRIDGE, VA 22191
33aNPI1568030161assigned 06/11/2021
33bProvider typeDentist
28Total paid$2K
24GClaims1,340
24DCodes billed15
24AFirst – last monthMar 2023 – Aug 2024
Compared with peers
Next to other Dentist providers in Virginia
Rank by total paid#334 of 417
Median peer was paid$34K
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 | |
|---|---|---|---|
| 2023 | 339 | $2K | |
| 2024incomplete | 1,001 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 66% | 177 | 177 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 24% | 156 | 156 | $407.00 |
| D0220 | Intraoral - periapical first radiographic image | 9.5% | 254 | 226 | $159.83 |
| D2740 | Crown - porcelain/ceramic | 0% | 95 | 55 | $0.00 |
| D2950 | 0% | 105 | 59 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 118 | 117 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 28 | 15 | $0.00 |
| D0270 | 0% | 18 | 15 | $0.00 | |
| D4910 | 0% | 12 | 12 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 54 | 40 | $0.00 |
| D4211 | 0% | 53 | 40 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 123 | 58 | $0.00 |
3 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 officialKAUR, HARPREET (MANAGER)