Dental
Impact Dental Care Stafford PLLC
Impact Dental Care Stafford PLLC was paid $6K by Medicaid between Feb 2023 and Feb 2024, across 10 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 42% of everything it billed.
33Billing provider infoIMPACT DENTAL CARE STAFFORD PLLC
STAFFORD, VA 22554
STAFFORD, VA 22554
33aNPI1720659535assigned 07/02/2021
33bProvider typeDentist
28Total paid$6K
24GClaims924
24DCodes billed10
24AFirst – last monthFeb 2023 – Feb 2024
Compared with peers
Next to other Dentist providers in Virginia
Rank by total paid#277 of 417
Median peer was paid$34K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2023 | 849 | $6K | |
| 2024incomplete | 75 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 42% | 197 | 193 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 17% | 77 | 74 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 16% | 300 | 259 | $988.04 |
| D1110 | Prophylaxis - adult | 11% | 56 | 54 | $674.85 |
| D0274 | Bitewings - four radiographic images | 7.6% | 16 | 13 | $466.44 |
| D0230 | Intraoral - periapical each additional radiographic image | 5.7% | 90 | 68 | $348.72 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 96 | 57 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 15 | 15 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 53 | 36 | $0.00 |
| D2950 | 0% | 24 | 15 | $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 officialKAUR, PALWINDER (MANAGER)