Dental
Hailemariam, Tesfaye
Hailemariam, Tesfaye was paid $177K by Medicaid between Feb 2018 and Sep 2024, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 18% of everything it billed.
33Billing provider infoHAILEMARIAM, TESFAYE
ALEXANDRIA, VA 22312
ALEXANDRIA, VA 22312
33aNPI1851302012assigned 08/11/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$177K
24GClaims8,318
24DCodes billed19
24AFirst – last monthFeb 2018 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#157 of 549
Median peer was paid$29K
This provider vs. median6.0×
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 | 401 | $11K | |
| 2019 | 212 | $5K | |
| 2020 | 50 | $1K | |
| 2021 | 538 | $12K | |
| 2022 | 1,488 | $70K | |
| 2023 | 3,638 | $78K | |
| 2024incomplete | 1,991 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 653 | 351 | $33K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 17% | 873 | 319 | $30K |
| D1110 | Prophylaxis - adult | 9.5% | 645 | 633 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.4% | 1,268 | 1,260 | $15K |
| D0274 | Bitewings - four radiographic images | 7.0% | 707 | 697 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.8% | 554 | 547 | $12K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.5% | 218 | 138 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 6.2% | 742 | 738 | $11K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.2% | 267 | 267 | $7K |
| D2740 | Crown - porcelain/ceramic | 4.0% | 115 | 76 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 919 | 877 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 2.4% | 290 | 209 | $4K |
7 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 641 | $4K |
| D4910 | 2.1% | 295 | $4K | |
| D9920 | 1.3% | 34 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 32 | $772.09 |
| D0140 | Limited oral evaluation - problem focused | <1% | 17 | $422.11 |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 0% | 28 | $0.00 |
| D2950 | 0% | 20 | $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.