Dental
Staver, Tatiana
Staver, Tatiana was paid $0.00 by Medicaid between Oct 2023 and Sep 2024, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 0% of everything it billed.
33Billing provider infoSTAVER, TATIANA
STERLING, VA 20166
STERLING, VA 20166
33aNPI1780096479assigned 05/29/2014
33bProvider typePediatric Dentist
28Total paid$0.00
24GClaims3,510
24DCodes billed11
24AFirst – last monthOct 2023 – Sep 2024
Compared with peers
Next to other Pediatric Dentist providers in Virginia
Rank by total paid#129 of 140
Median peer was paid$234K
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 | |
|---|---|---|---|
| 2023 | 920 | $0.00 | |
| 2024incomplete | 2,590 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 538 | 538 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 142 | 73 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 303 | 303 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 179 | 179 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 176 | 168 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 141 | 53 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 823 | 823 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 315 | 315 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 535 | 535 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 152 | 67 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 206 | 206 | $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.