Preston Dental Care PLLC

Preston Dental Care PLLC was paid $21K by Medicaid between May 2018 and Nov 2024, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.

33Billing provider infoPRESTON DENTAL CARE PLLC
KINGWOOD, WV 26537

33aNPI1588116040assigned 11/01/2016

33bProvider typeDentist

28Total paid$21K

24GClaims802

24DCodes billed12

24AFirst – last monthMay 2018 – Nov 2024

Compared with peers

Next to other Dentist providers in West Virginia

Rank by total paid#66 of 112

Median peer was paid$60K

This provider vs. median0.3×

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	104	$2K
2019	36	$780.00
2020	57	$436.40
2024incomplete	605	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	24%	125	123	$5K
D1206	Topical application of fluoride varnish	23%	241	237	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	150	147	$4K
D1110	Prophylaxis - adult	9.9%	38	38	$2K
D0274	Bitewings - four radiographic images	4.5%	27	27	$936.10
D0150	Comprehensive oral evaluation - new or established patient	4.3%	26	26	$885.50
D0220	Intraoral - periapical first radiographic image	4.0%	53	53	$825.00
D0330	Panoramic radiographic image	3.9%	14	14	$810.70
D0272	Bitewings - two radiographic images	3.1%	26	26	$632.50
D0230	Intraoral - periapical each additional radiographic image	2.9%	58	36	$605.00
D1320		2.0%	13	13	$407.12
D1999		0%	31	29	$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 officialJOHNSON, JACLYN (DENTIST/OWNER)