Managed care
Clear Care Dental PLLC.
Clear Care Dental PLLC. was paid $1.57M by Medicaid between Jan 2018 and Jul 2022, across 34 billing codes. Its largest line is D1120, dental cleaning, child — 9.4% of everything it billed.
33Billing provider infoCLEAR CARE DENTAL PLLC.
FREDERICKSBURG, VA 22405
FREDERICKSBURG, VA 22405
33aNPI1689899726assigned 04/16/2007
33bProvider typePreferred Provider Organization
28Total paid$1.57M
24GClaims38,996
24DCodes billed34
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers
Next to other Preferred Provider Organization providers in Virginia
Rank by total paid#3 of 11
Median peer was paid$151K
This provider vs. median10×
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 | 4,176 | $168K | |
| 2019 | 10,292 | $465K | |
| 2020 | 10,593 | $425K | |
| 2021 | 9,600 | $339K | |
| 2022 | 4,335 | $171K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 9.4% | 4,470 | 4,409 | $148K |
| D8670 | Periodic orthodontic treatment visit | 9.0% | 350 | 347 | $140K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.6% | 1,371 | 720 | $119K |
| D1206 | Topical application of fluoride varnish | 7.3% | 5,589 | 5,485 | $115K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 7.3% | 996 | 328 | $115K |
| D9920 | 7.2% | 1,659 | 1,604 | $114K | |
| D9310 | 6.9% | 1,479 | 1,327 | $108K | |
| D7240 | Removal of impacted tooth - completely bony | 5.4% | 387 | 121 | $85K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.9% | 3,860 | 3,804 | $76K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 4.3% | 1,121 | 364 | $67K |
| D1110 | Prophylaxis - adult | 2.7% | 926 | 912 | $43K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.7% | 585 | 351 | $43K |
22 more codes
| D1351 | Sealant - per tooth | 2.7% | 1,340 | $43K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 1,339 | $41K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 3,222 | $35K |
| D0330 | Panoramic radiographic image | 2.2% | 768 | $35K |
| D0240 | 2.2% | 2,851 | $35K | |
| D7140 | Extraction, erupted tooth or exposed root | 1.6% | 379 | $25K |
| D0210 | Intraoral - complete series of radiographic images | 1.6% | 648 | $25K |
| D9222 | 1.5% | 387 | $23K | |
| D0272 | Bitewings - two radiographic images | 1.5% | 1,151 | $23K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 1,834 | $20K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.3% | 595 | $20K |
| D0274 | Bitewings - four radiographic images | 1.2% | 723 | $20K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 99 | $13K |
| D8660 | <1% | 52 | $10K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 86 | $7K |
| D9610 | <1% | 327 | $6K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 175 | $4K |
| D2330 | <1% | 58 | $4K | |
| D7230 | <1% | 21 | $3K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 77 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 53 | $1K |
| D9630 | <1% | 18 | $337.79 |
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 officialZIANE, SIHAM (OFFICE MANAGER)