Phillip D Prater DDD PLLC

Phillip D Prater DDD PLLC was paid $89K by Medicaid between Jan 2018 and Nov 2021, across 8 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 29% of everything it billed.

33Billing provider infoPHILLIP D PRATER DDD PLLC
BLACKSTONE, VA 23824

33aNPI1891186441assigned 02/17/2015

33bProvider typeDentist

28Total paid$89K

24GClaims3,495

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2021

Compared with peers

Next to other Dentist providers in Virginia

Rank by total paid#150 of 417

Median peer was paid$34K

This provider vs. median2.6×

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
2018	1,001	$26K
2019	1,180	$32K
2020	648	$15K
2021	666	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	29%	1,266	1,258	$26K
D1120	Dental cleaning, childProphylaxis - child	26%	692	688	$23K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	23%	1,039	1,032	$21K
D1110	Prophylaxis - adult	15%	291	288	$14K
D0150	Comprehensive oral evaluation - new or established patient	2.9%	83	83	$3K
D0274	Bitewings - four radiographic images	2.5%	82	82	$2K
D0330	Panoramic radiographic image	<1%	14	14	$755.86
D0272	Bitewings - two radiographic images	<1%	28	28	$564.20

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 officialPRATER, PHILLIP (OWNER)