Bracken, Monleudy

Bracken, Monleudy was paid $20K by Medicaid between Jul 2018 and Dec 2019, across 7 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 25% of everything it billed.

33Billing provider infoBRACKEN, MONLEUDY
PORTSMOUTH, VA 23701

33aNPI1679887509assigned 08/03/2010

33bProvider typeGeneral Practice Dentistry

28Total paid$20K

24GClaims958

24DCodes billed7

24AFirst – last monthJul 2018 – Dec 2019

Compared with peers

Next to other General Practice Dentistry providers in Virginia

Rank by total paid#311 of 549

Median peer was paid$29K

This provider vs. median0.7×

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	304	$7K
2019	654	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	25%	250	250	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	25%	256	256	$5K
D9630		23%	234	234	$4K
D1120	Dental cleaning, childProphylaxis - child	9.4%	55	55	$2K
D1110	Prophylaxis - adult	7.9%	35	35	$2K
D0140	Limited oral evaluation - problem focused	6.2%	49	48	$1K
D0220	Intraoral - periapical first radiographic image	4.0%	79	75	$784.60

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.