Dental
Grace Dental of Virginia, LLC
Grace Dental of Virginia, LLC was paid $83K by Medicaid between Aug 2021 and Sep 2024, across 11 billing codes. Its largest line is D9248, — 31% of everything it billed.
33Billing provider infoGRACE DENTAL OF VIRGINIA, LLC
CHANTILLY, VA 20151
CHANTILLY, VA 20151
33aNPI1700212511assigned 09/25/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$83K
24GClaims4,057
24DCodes billed11
24AFirst – last monthAug 2021 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#209 of 549
Median peer was paid$29K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2021 | 76 | $3K | |
| 2022 | 989 | $41K | |
| 2023 | 1,840 | $39K | |
| 2024incomplete | 1,152 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9248 | 31% | 458 | 446 | $26K | |
| D9920 | 20% | 480 | 464 | $17K | |
| D4910 | 18% | 468 | 456 | $15K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 778 | 761 | $9K |
| D9630 | 9.0% | 687 | 672 | $7K | |
| D9994 | 5.2% | 920 | 896 | $4K | |
| D1110 | Prophylaxis - adult | 3.6% | 127 | 126 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 42 | 42 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 55 | 53 | $203.42 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 25 | 25 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 17 | 17 | $0.00 |
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 officialJARWA, SAMER (DENTIST)