Dental
Jason Farr Favagehi DDS III PC
Jason Farr Favagehi DDS III PC was paid $34K by Medicaid between Jan 2018 and Apr 2019, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 28% of everything it billed.
33Billing provider infoJASON FARR FAVAGEHI DDS III PC
CHANTILLY, VA 20151
CHANTILLY, VA 20151
33aNPI1780736355assigned 01/17/2007
33bProvider typeDentist
28Total paid$34K
24GClaims1,401
24DCodes billed7
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Dentist providers in Virginia
Rank by total paid#209 of 417
Median peer was paid$34K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2018 | 988 | $24K | |
| 2019 | 413 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 28% | 287 | 287 | $10K |
| D1206 | Topical application of fluoride varnish | 26% | 419 | 418 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 413 | 406 | $8K |
| D1110 | Prophylaxis - adult | 7.1% | 56 | 51 | $2K |
| D0272 | Bitewings - two radiographic images | 7.0% | 120 | 119 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.8% | 22 | 12 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 84 | 56 | $637.26 |
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 officialFAVAGEHI, JASON (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Crystal City Dental Arts Center | Arlington, VA | $13K |
| Jason Farr Favagehi DDC PC | Vienna, VA | $12K |
| Jason F Favagehi DDS PC | Arlington, VA | $3K |
| Crystal Smile, PLLC | Arlington, VA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.