Dental
Chantilly Dental Arts Center PLLC
Chantilly Dental Arts Center PLLC was paid $179K by Medicaid between Aug 2019 and Aug 2024, across 15 billing codes. Its largest line is D2393, Resin-based composite - three surfaces, posterior, primary or permanent — 21% of everything it billed.
33Billing provider infoCHANTILLY DENTAL ARTS CENTER PLLC
CHANTILLY, VA 20151
CHANTILLY, VA 20151
33aNPI1871056689assigned 04/09/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$179K
24GClaims6,994
24DCodes billed15
24AFirst – last monthAug 2019 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#154 of 549
Median peer was paid$29K
This provider vs. median6.1×
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 | |
|---|---|---|---|
| 2019 | 649 | $21K | |
| 2020 | 620 | $20K | |
| 2021 | 1,410 | $46K | |
| 2022 | 1,824 | $59K | |
| 2023 | 1,663 | $33K | |
| 2024incomplete | 828 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 21% | 298 | 138 | $37K |
| D1110 | Prophylaxis - adult | 19% | 944 | 932 | $35K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 232 | 117 | $20K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,163 | 1,155 | $19K |
| D1206 | Topical application of fluoride varnish | 7.7% | 693 | 693 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 7.2% | 1,549 | 1,456 | $13K |
| D0274 | Bitewings - four radiographic images | 7.1% | 526 | 518 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.0% | 933 | 612 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.9% | 204 | 204 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 190 | 189 | $6K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 113 | 101 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 1.3% | 62 | 57 | $2K |
3 more codes
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 officialALTEMEMI, NADINE (OWNER)