Clinic
202 Dental PLLC
202 Dental PLLC was paid $4K by Medicaid between May 2022 and Aug 2024, across 4 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 41% of everything it billed.
33Billing provider info202 DENTAL PLLC
WASHINGTON, DC 20002
WASHINGTON, DC 20002
33aNPI1760065338assigned 05/03/2021
33bProvider typeDental Clinic/Center
28Total paid$4K
24GClaims111
24DCodes billed4
24AFirst – last monthMay 2022 – Aug 2024
Compared with peers
Next to other Dental Clinic/Center providers in District of Columbia
Rank by total paid#26 of 27
Median peer was paid$176K
This provider vs. median0.0×
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 | 12 | $721.94 | |
| 2023 | 27 | $851.00 | |
| 2024incomplete | 72 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 41% | 61 | 59 | $1K |
| D0274 | Bitewings - four radiographic images | 27% | 24 | 24 | $962.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 20% | 12 | 12 | $721.94 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 14 | 13 | $420.00 |
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 officialMESFIN, TEFESEHET (OWNER)