Dental
DR. Brian Brumbaugh
DR. Brian Brumbaugh was paid $1.43M by Medicaid between Jan 2018 and Jul 2023, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.
33Billing provider infoDR. BRIAN BRUMBAUGH
STAUNTON, VA 24401
STAUNTON, VA 24401
33aNPI1821268723assigned 03/06/2008
33bProvider typeDentist
28Total paid$1.43M
24GClaims45,551
24DCodes billed22
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other Dentist providers in Virginia
Rank by total paid#25 of 417
Median peer was paid$34K
This provider vs. median42×
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 | 10,790 | $327K | |
| 2019 | 9,500 | $279K | |
| 2020 | 6,647 | $207K | |
| 2021 | 7,357 | $233K | |
| 2022 | 6,837 | $219K | |
| 2023 | 4,420 | $167K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 7,826 | 7,764 | $262K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 2,900 | 1,320 | $256K |
| D1206 | Topical application of fluoride varnish | 14% | 9,776 | 9,691 | $204K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 9,031 | 8,956 | $182K |
| D1351 | Sealant - per tooth | 7.5% | 3,195 | 933 | $107K |
| D0272 | Bitewings - two radiographic images | 6.4% | 4,584 | 4,525 | $92K |
| D1110 | Prophylaxis - adult | 6.0% | 1,815 | 1,792 | $87K |
| D7140 | Extraction, erupted tooth or exposed root | 5.1% | 1,068 | 604 | $73K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.2% | 1,337 | 1,288 | $45K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.0% | 584 | 373 | $43K |
| D0330 | Panoramic radiographic image | 1.4% | 391 | 388 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 1,364 | 1,343 | $15K |
10 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 476 | $12K |
| D9248 | <1% | 110 | $12K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 737 | $8K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 71 | $5K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 39 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 67 | $2K |
| D9920 | <1% | 115 | $2K | |
| D9222 | <1% | 13 | $1K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 26 | $523.90 |
| D9630 | <1% | 26 | $468.00 |
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 officialBRUMBAUGH, BRIAN (PRESIDENT)