Dental
Botros, Mena
Botros, Mena was paid $158K by Medicaid between Jan 2018 and Aug 2024, across 15 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 15% of everything it billed.
33Billing provider infoBOTROS, MENA
WINCHESTER, VA 22601
WINCHESTER, VA 22601
33aNPI1649688797assigned 07/31/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$158K
24GClaims11,508
24DCodes billed15
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#162 of 549
Median peer was paid$29K
This provider vs. median5.4×
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 | 204 | $2K | |
| 2019 | 1,189 | $18K | |
| 2020 | 1,239 | $21K | |
| 2021 | 1,570 | $26K | |
| 2022 | 2,561 | $53K | |
| 2023 | 3,223 | $38K | |
| 2024incomplete | 1,522 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 15% | 1,445 | 1,434 | $24K |
| D1110 | Prophylaxis - adult | 10% | 496 | 475 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.3% | 1,856 | 878 | $15K |
| D9996 | 9.0% | 1,235 | 1,146 | $14K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.8% | 912 | 895 | $14K |
| D0274 | Bitewings - four radiographic images | 8.7% | 673 | 655 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.7% | 527 | 400 | $12K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.1% | 451 | 450 | $11K |
| D9994 | 5.7% | 1,370 | 1,282 | $9K | |
| D0220 | Intraoral - periapical first radiographic image | 5.2% | 1,056 | 923 | $8K |
| D9992 | 5.1% | 1,262 | 1,178 | $8K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.6% | 90 | 42 | $7K |
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.