Dental
Family Dentistry of Fairfax, P. C.
Family Dentistry of Fairfax, P. C. was paid $47K by Medicaid between Nov 2019 and Aug 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 47% of everything it billed.
33Billing provider infoFAMILY DENTISTRY OF FAIRFAX, P. C.
FAIRFAX, VA 22030
FAIRFAX, VA 22030
33aNPI1679727275assigned 11/09/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$47K
24GClaims2,667
24DCodes billed9
24AFirst – last monthNov 2019 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#248 of 549
Median peer was paid$29K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2019 | 76 | $794.17 | |
| 2020 | 353 | $3K | |
| 2021 | 350 | $10K | |
| 2022 | 449 | $19K | |
| 2023 | 873 | $14K | |
| 2024incomplete | 566 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 47% | 692 | 686 | $22K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 663 | 637 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 188 | 188 | $6K |
| D0274 | Bitewings - four radiographic images | 8.9% | 246 | 246 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.0% | 415 | 225 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 4.6% | 381 | 332 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 3.4% | 42 | 40 | $2K |
| D0272 | Bitewings - two radiographic images | 1.2% | 28 | 28 | $544.05 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 12 | 12 | $249.48 |
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 officialBUTT, TEHREEM (DENTIST)