Dental
Rva Pediatric Dentistry
Rva Pediatric Dentistry was paid $201K by Medicaid between Jul 2020 and Sep 2024, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.
33Billing provider infoRVA PEDIATRIC DENTISTRY
RICHMOND, VA 23226
RICHMOND, VA 23226
33aNPI1780239087assigned 08/05/2019
33bProvider typePediatric Dentist
28Total paid$201K
24GClaims12,059
24DCodes billed20
24AFirst – last monthJul 2020 – Sep 2024
Compared with peers
Next to other Pediatric Dentist providers in Virginia
Rank by total paid#75 of 140
Median peer was paid$234K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2020 | 168 | $5K | |
| 2021 | 1,119 | $34K | |
| 2022 | 2,669 | $81K | |
| 2023 | 4,976 | $81K | |
| 2024incomplete | 3,127 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 33% | 3,185 | 3,158 | $67K |
| D1206 | Topical application of fluoride varnish | 25% | 3,654 | 3,624 | $49K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 946 | 938 | $22K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 1,839 | 1,823 | $21K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.5% | 681 | 653 | $13K |
| D0272 | Bitewings - two radiographic images | 3.6% | 526 | 523 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 115 | 67 | $6K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.8% | 155 | 43 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 1.2% | 102 | 87 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | 1.1% | 217 | 217 | $2K |
| D1351 | Sealant - per tooth | <1% | 133 | 40 | $1K |
| D1110 | Prophylaxis - adult | <1% | 89 | 86 | $1K |
8 more codes
| D0330 | Panoramic radiographic image | <1% | 12 | $842.28 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 120 | $581.20 |
| D0140 | Limited oral evaluation - problem focused | <1% | 58 | $451.92 |
| D0274 | Bitewings - four radiographic images | <1% | 119 | $430.56 |
| D0240 | <1% | 33 | $143.55 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 23 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 28 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 24 | $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 officialMUSSELWHITE, JAMES (OWNER)