Clinic
Ashburn Dental Studio PLLC
Ashburn Dental Studio PLLC was paid $47K by Medicaid between Jul 2019 and Apr 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 39% of everything it billed.
33Billing provider infoASHBURN DENTAL STUDIO PLLC
ASHBURN, VA 20147
ASHBURN, VA 20147
33aNPI1881182814assigned 04/25/2018
33bProvider typeDental Clinic/Center
28Total paid$47K
24GClaims1,836
24DCodes billed9
24AFirst – last monthJul 2019 – Apr 2024
Compared with peers
Next to other Dental Clinic/Center providers in Virginia
Rank by total paid#79 of 142
Median peer was paid$75K
This provider vs. median0.6×
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 | 96 | $1K | |
| 2021 | 242 | $7K | |
| 2022 | 738 | $23K | |
| 2023 | 712 | $16K | |
| 2024incomplete | 48 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 39% | 469 | 461 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 21% | 335 | 309 | $10K |
| D0274 | Bitewings - four radiographic images | 15% | 305 | 295 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.6% | 252 | 251 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 7.9% | 326 | 299 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.2% | 17 | 12 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.0% | 85 | 67 | $954.58 |
| D0140 | Limited oral evaluation - problem focused | 1.9% | 28 | 27 | $903.84 |
| D0330 | Panoramic radiographic image | 1.4% | 19 | 12 | $647.88 |
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 officialKORTAM, SAHIRA (DENTIST)