Dental
Spring Creek Family Dentistry & Orthodontics
Spring Creek Family Dentistry & Orthodontics was paid $71K by Medicaid between Feb 2018 and Aug 2024, across 10 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 32% of everything it billed.
33Billing provider infoSPRING CREEK FAMILY DENTISTRY & ORTHODONTICS
GORDONSVILLE, VA 22942
GORDONSVILLE, VA 22942
33aNPI1881923654assigned 12/08/2009
33bProvider typeOral and Maxillofacial Pathology Dentist
28Total paid$71K
24GClaims3,420
24DCodes billed10
24AFirst – last monthFeb 2018 – Aug 2024
Compared with peers
Next to other Oral and Maxillofacial Pathology Dentist providers in Virginia
Rank by total paid#4 of 6
Median peer was paid$71K
This provider vs. median1.0×
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 | 161 | $4K | |
| 2019 | 314 | $7K | |
| 2020 | 420 | $10K | |
| 2021 | 490 | $12K | |
| 2022 | 896 | $29K | |
| 2023 | 718 | $9K | |
| 2024incomplete | 421 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 32% | 1,313 | 1,308 | $23K |
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 734 | 733 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 1,008 | 1,003 | $15K |
| D1110 | Prophylaxis - adult | 5.0% | 84 | 84 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.8% | 30 | 13 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.4% | 77 | 77 | $2K |
| D0274 | Bitewings - four radiographic images | 3.0% | 86 | 86 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 2.1% | 37 | 31 | $1K |
| D1351 | Sealant - per tooth | 1.8% | 39 | 12 | $1K |
| D8670 | Periodic orthodontic treatment visit | 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 officialCHISHOLM, BERNIE (PRACTICE ADMINISTRATOR)