Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Little Pearls Dentistry for Children, PC

Little Pearls Dentistry for Children, PC was paid $285K by Medicaid between Jun 2018 and Sep 2024, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.

33Billing provider infoLITTLE PEARLS DENTISTRY FOR CHILDREN, PC
LANSDOWNE, VA 20176
33aNPI1588154330assigned 05/17/2018
33bProvider typePediatric Dentist
28Total paid$285K
24GClaims13,362
24DCodes billed10
24AFirst – last monthJun 2018 – Sep 2024
Compared with peers

Next to other Pediatric Dentist providers in Virginia

Rank by total paid#66 of 140
Median peer was paid$234K
This provider vs. median1.2×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20181,346$34K
20192,057$49K
20201,635$40K
20212,274$59K
20222,120$63K
20232,431$40K
2024incomplete1,499$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 25% 2,568 2,546 $72K
D1206 Topical application of fluoride varnish 24% 4,004 3,970 $70K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 23% 3,944 3,909 $66K
D1110 Prophylaxis - adult 19% 1,406 1,394 $53K
D0272 Bitewings - two radiographic images 5.2% 857 851 $15K
D0274 Bitewings - four radiographic images 2.4% 325 320 $7K
D1351 Sealant - per tooth <1% 63 16 $3K
D0150 Comprehensive oral evaluation - new or established patient <1% 71 71 $407.03
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 0% 79 69 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 0% 45 24 $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 officialGAZORI, MICHAEL (OWNER)