Purcellville Pediatric Dentistry

Purcellville Pediatric Dentistry was paid $92K by Medicaid between Jan 2018 and Mar 2023, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 41% of everything it billed.

33Billing provider infoPURCELLVILLE PEDIATRIC DENTISTRY
PURCELLVILLE, VA 20132

33aNPI1760828297assigned 05/10/2013

33bProvider typePediatric Dentist

28Total paid$92K

24GClaims3,626

24DCodes billed5

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Pediatric Dentist providers in Virginia

Rank by total paid#89 of 140

Median peer was paid$234K

This provider vs. median0.4×

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	571	$14K
2019	523	$12K
2020	485	$12K
2021	827	$20K
2022	978	$26K
2023	242	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	41%	1,095	1,093	$38K
D1206	Topical application of fluoride varnish	31%	1,312	1,308	$28K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	25%	1,097	1,092	$23K
D0272	Bitewings - two radiographic images	2.5%	109	109	$2K
D0150	Comprehensive oral evaluation - new or established patient	<1%	13	13	$407.03

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 officialMONAJEMY, NOOSHIN (OWNER)