Dental
Potomac Dental Care PC
Potomac Dental Care PC was paid $60K by Medicaid between Jun 2018 and Aug 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.
33Billing provider infoPOTOMAC DENTAL CARE PC
WOODBRIDGE, VA 22191
WOODBRIDGE, VA 22191
33aNPI1578841961assigned 08/02/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$60K
24GClaims2,671
24DCodes billed12
24AFirst – last monthJun 2018 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#231 of 549
Median peer was paid$29K
This provider vs. median2.1×
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 | 53 | $1K | |
| 2019 | 55 | $954.73 | |
| 2020 | 44 | $896.20 | |
| 2021 | 381 | $12K | |
| 2022 | 781 | $30K | |
| 2023 | 991 | $16K | |
| 2024incomplete | 366 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 23% | 420 | 419 | $14K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 99 | 45 | $10K |
| D0274 | Bitewings - four radiographic images | 13% | 371 | 367 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 539 | 538 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 6.8% | 576 | 529 | $4K |
| D0140 | Limited oral evaluation - problem focused | 6.2% | 203 | 200 | $4K |
| D0330 | Panoramic radiographic image | 6.0% | 57 | 57 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.0% | 130 | 130 | $3K |
| D1206 | Topical application of fluoride varnish | 4.4% | 138 | 138 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 86 | 70 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 1.4% | 40 | 40 | $831.60 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 12 | 12 | $402.24 |
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 officialALATHARI, RASHA (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Tysons Dental Corner PC | Falls Church, VA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.