Madison Family Dentistry, PLLC

Madison Family Dentistry, PLLC was paid $115K by Medicaid between Jan 2018 and Nov 2023, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 25% of everything it billed.

33Billing provider infoMADISON FAMILY DENTISTRY, PLLC
MADISON, VA 22727

33aNPI1609251503assigned 07/21/2015

33bProvider typeDental Clinic/Center

28Total paid$115K

24GClaims4,403

24DCodes billed12

24AFirst – last monthJan 2018 – Nov 2023

Compared with peers

Next to other Dental Clinic/Center providers in Virginia

Rank by total paid#63 of 142

Median peer was paid$75K

This provider vs. median1.5×

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	1,309	$35K
2019	1,367	$37K
2020	685	$17K
2021	575	$15K
2022	270	$7K
2023	197	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	25%	1,531	1,522	$29K
D1110	Prophylaxis - adult	24%	619	619	$28K
D1206	Topical application of fluoride varnish	24%	1,353	1,345	$27K
D1120	Dental cleaning, childProphylaxis - child	17%	608	602	$19K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	4.0%	51	27	$5K
D0274	Bitewings - four radiographic images	2.1%	88	88	$2K
D1351	Sealant - per tooth	1.3%	49	14	$1K
D0330	Panoramic radiographic image	<1%	22	22	$1K
D0251		<1%	12	12	$566.28
D0220	Intraoral - periapical first radiographic image	<1%	40	39	$436.02
D0140	Limited oral evaluation - problem focused	<1%	14	13	$347.62
D0272	Bitewings - two radiographic images	<1%	16	16	$282.10

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 officialVEGA, OSCAR (OWNER)