Dental
Grove Dental Clinic
Grove Dental Clinic was paid $762K by Medicaid between Jan 2018 and Sep 2024, across 20 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 20% of everything it billed.
33Billing provider infoGROVE DENTAL CLINIC
MC LEAN, VA 22102
MC LEAN, VA 22102
33aNPI1689106726assigned 03/29/2017
33bProvider typeDentist
28Total paid$762K
24GClaims28,369
24DCodes billed20
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Dentist providers in Virginia
Rank by total paid#44 of 417
Median peer was paid$34K
This provider vs. median22×
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 | 2,723 | $96K | |
| 2019 | 4,028 | $177K | |
| 2020 | 3,408 | $80K | |
| 2021 | 3,928 | $128K | |
| 2022 | 4,520 | $172K | |
| 2023 | 6,443 | $109K | |
| 2024incomplete | 3,319 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 20% | 413 | 409 | $155K |
| D1110 | Prophylaxis - adult | 13% | 2,820 | 2,800 | $97K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 1,214 | 784 | $88K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 4,236 | 4,224 | $78K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.4% | 4,417 | 4,393 | $72K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.7% | 1,707 | 1,706 | $51K |
| D0274 | Bitewings - four radiographic images | 5.2% | 1,850 | 1,836 | $39K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.2% | 623 | 413 | $32K |
| D0220 | Intraoral - periapical first radiographic image | 4.2% | 3,787 | 3,656 | $32K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.9% | 1,204 | 1,151 | $30K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.7% | 3,382 | 2,680 | $29K |
| D7140 | Extraction, erupted tooth or exposed root | 2.5% | 280 | 156 | $19K |
8 more codes
| D0210 | Intraoral - complete series of radiographic images | 1.9% | 457 | $14K |
| D9920 | 1.2% | 143 | $9K | |
| D0330 | Panoramic radiographic image | <1% | 171 | $7K |
| D9994 | <1% | 1,175 | $3K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 128 | $3K |
| D1351 | Sealant - per tooth | <1% | 41 | $1K |
| D9992 | <1% | 280 | $911.00 | |
| D0272 | Bitewings - two radiographic images | <1% | 41 | $826.15 |
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 officialNAUPARI DE NUNEZ, CYNTHIA (CREDENTIALING)