Clinic
Andrew W Henritze DDS PLLC
Andrew W Henritze DDS PLLC was paid $192K by Medicaid between Jul 2018 and Sep 2024, across 17 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 27% of everything it billed.
33Billing provider infoANDREW W HENRITZE DDS PLLC
ROANOKE, VA 24018
ROANOKE, VA 24018
33aNPI1710478110assigned 05/22/2018
33bProvider typeDental Clinic/Center
28Total paid$192K
24GClaims12,303
24DCodes billed17
24AFirst – last monthJul 2018 – Sep 2024
Compared with peers
Next to other Dental Clinic/Center providers in Virginia
Rank by total paid#53 of 142
Median peer was paid$75K
This provider vs. median2.6×
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 | 183 | $4K | |
| 2019 | 373 | $8K | |
| 2020 | 1,063 | $26K | |
| 2021 | 1,717 | $44K | |
| 2022 | 2,321 | $72K | |
| 2023 | 2,204 | $38K | |
| 2024incomplete | 4,442 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 27% | 3,653 | 3,612 | $51K |
| D1110 | Prophylaxis - adult | 22% | 1,324 | 1,301 | $43K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 2,800 | 2,770 | $37K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 1,547 | 1,528 | $29K |
| D9630 | 7.5% | 737 | 728 | $14K | |
| D0274 | Bitewings - four radiographic images | 3.4% | 464 | 459 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 462 | 462 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 2.7% | 129 | 103 | $5K |
| D0272 | Bitewings - two radiographic images | <1% | 235 | 235 | $634.80 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 89 | 88 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 98 | 98 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 91 | 71 | $0.00 |
5 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 12 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 247 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 27 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 305 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 83 | $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 officialHARRIS, REBECCA (ACCOUNTS RECEIVABLE ANALYST)