Dental
PDC Pediatric Dental Care PLLC
PDC Pediatric Dental Care PLLC was paid $1.76M by Medicaid between Mar 2022 and Sep 2024, across 32 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 11% of everything it billed.
33Billing provider infoPDC PEDIATRIC DENTAL CARE PLLC
FAIRFAX, VA 22030
FAIRFAX, VA 22030
33aNPI1700547932assigned 01/10/2022
33bProvider typeDentist
28Total paid$1.76M
24GClaims85,902
24DCodes billed32
24AFirst – last monthMar 2022 – Sep 2024
Compared with peers
Next to other Dentist providers in Virginia
Rank by total paid#21 of 417
Median peer was paid$34K
This provider vs. median52×
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 | |
|---|---|---|---|
| 2022 | 23,881 | $992K | |
| 2023 | 38,415 | $767K | |
| 2024incomplete | 23,606 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 3,463 | 1,873 | $196K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.9% | 8,369 | 8,285 | $173K |
| D1206 | Topical application of fluoride varnish | 8.3% | 11,586 | 11,473 | $147K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.4% | 1,096 | 592 | $130K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.3% | 10,410 | 10,309 | $128K |
| D9630 | 5.9% | 8,580 | 8,500 | $103K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.3% | 1,982 | 1,326 | $93K |
| D1351 | Sealant - per tooth | 5.3% | 3,850 | 1,378 | $93K |
| D1110 | Prophylaxis - adult | 5.2% | 3,201 | 3,169 | $92K |
| D9248 | 4.1% | 1,027 | 972 | $72K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.0% | 3,162 | 2,959 | $70K |
| D0272 | Bitewings - two radiographic images | 3.5% | 5,016 | 4,968 | $61K |
20 more codes
| D9920 | 3.2% | 868 | $56K | |
| D7140 | Extraction, erupted tooth or exposed root | 2.8% | 973 | $49K |
| D3240 | 2.5% | 228 | $44K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.4% | 347 | $42K |
| D0240 | 2.1% | 6,766 | $36K | |
| D1355 | 1.8% | 1,006 | $32K | |
| D2335 | 1.4% | 183 | $25K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 1,082 | $22K |
| D0330 | Panoramic radiographic image | 1.3% | 501 | $22K |
| D3120 | 1.0% | 1,817 | $18K | |
| D2940 | <1% | 480 | $17K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,133 | $14K |
| D0140 | Limited oral evaluation - problem focused | <1% | 656 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,105 | $6K |
| D9310 | <1% | 39 | $4K | |
| D1510 | <1% | 28 | $3K | |
| D0274 | Bitewings - four radiographic images | <1% | 82 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 16 | $432.48 |
| D1354 | 0% | 1,062 | $0.00 | |
| D9994 | 0% | 4,788 | $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 officialCOLE, MICHAEL (VP INSURANCE PLAN MANAGEMENT)
| Provider | Location | Paid |
|---|---|---|
| Columbia County | Hudson, NY | $7.21M |
| Bright Smiles Family Dentistry Center PLLC | Marble Falls, TX | $1.10M |
| ST Mary's Home for Boys | Beaverton, OR | $914K |
| Gentle Dental Jefferson PLLC | Detroit, MI | $376K |
| Alliance Dental Care of East Longmeadow LLC | East Longmeadow, MA | $63K |
| Family Eye Care Center | Logan, UT | $50K |
| Universal Medical Suppliers, INC | Sunbury, PA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.