Dental
Pediatric Dentistry of King George
Pediatric Dentistry of King George was paid $19K by Medicaid between Jan 2018 and Sep 2018, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 39% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY OF KING GEORGE
KING GEORGE, VA 22485
KING GEORGE, VA 22485
33aNPI1659724185assigned 07/20/2016
33bProvider typePediatric Dentist
28Total paid$19K
24GClaims717
24DCodes billed5
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers
Next to other Pediatric Dentist providers in Virginia
Rank by total paid#110 of 140
Median peer was paid$234K
This provider vs. median0.1×
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 | 717 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 39% | 222 | 222 | $7K |
| D1206 | Topical application of fluoride varnish | 29% | 267 | 267 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 95 | 95 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.3% | 87 | 87 | $2K |
| D0274 | Bitewings - four radiographic images | 6.7% | 46 | 46 | $1K |
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 officialEDWARDS, JUSTIN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Justin S Edwards DMD MSD PLC | Fredericksburg, VA | $1.17M |
| City of Uhrichsville | Uhrichsville, OH | $136K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.