Dental
Ballston Metro Dental
Ballston Metro Dental was paid $13K by Medicaid between Jul 2022 and Jul 2024, across 4 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 71% of everything it billed.
33Billing provider infoBALLSTON METRO DENTAL
ARLINGTON, VA 22203
ARLINGTON, VA 22203
33aNPI1881910107assigned 04/12/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$13K
24GClaims158
24DCodes billed4
24AFirst – last monthJul 2022 – Jul 2024
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#336 of 549
Median peer was paid$29K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2022 | 40 | $2K | |
| 2023 | 106 | $11K | |
| 2024incomplete | 12 | $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 | 71% | 82 | 25 | $10K |
| D0210 | Intraoral - complete series of radiographic images | 17% | 25 | 25 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 39 | 39 | $2K |
| D1110 | Prophylaxis - adult | 0% | 12 | 12 | $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.
From NPPES
Who's on the registration
Authorized officialSOLTANI, SHAHROKH (PRESIDENT)
Parent organizationSHAHROKH SOLTANI