Dental
Ladysmith Dental Center
Ladysmith Dental Center was paid $456K by Medicaid between Jan 2018 and Sep 2024, across 24 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 20% of everything it billed.
33Billing provider infoLADYSMITH DENTAL CENTER
RUTHER GLEN, VA 22546
RUTHER GLEN, VA 22546
33aNPI1912346073assigned 06/21/2013
33bProvider typeDentist
28Total paid$456K
24GClaims15,603
24DCodes billed24
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Dentist providers in Virginia
Rank by total paid#67 of 417
Median peer was paid$34K
This provider vs. median13×
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 | 424 | $10K | |
| 2019 | 850 | $16K | |
| 2020 | 1,031 | $24K | |
| 2021 | 2,275 | $94K | |
| 2022 | 3,789 | $202K | |
| 2023 | 4,689 | $109K | |
| 2024incomplete | 2,545 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 20% | 1,073 | 464 | $89K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 1,199 | 728 | $84K |
| D1110 | Prophylaxis - adult | 7.5% | 1,078 | 1,068 | $34K |
| D0210 | Intraoral - complete series of radiographic images | 6.8% | 777 | 680 | $31K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.2% | 1,267 | 1,236 | $28K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.6% | 287 | 179 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.4% | 1,558 | 1,532 | $25K |
| D1208 | Topical application of fluoride, excluding varnish | 5.1% | 1,288 | 1,258 | $23K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.5% | 375 | 233 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 2,181 | 2,098 | $18K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.6% | 605 | 593 | $16K |
| D0140 | Limited oral evaluation - problem focused | 3.5% | 1,022 | 981 | $16K |
12 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 1,351 | $11K |
| D2740 | Crown - porcelain/ceramic | 2.4% | 22 | $11K |
| D9630 | 1.3% | 468 | $6K | |
| D0274 | Bitewings - four radiographic images | 1.2% | 387 | $5K |
| D0330 | Panoramic radiographic image | <1% | 125 | $4K |
| D2950 | <1% | 31 | $3K | |
| D4342 | <1% | 31 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 150 | $2K |
| D0270 | <1% | 158 | $435.90 | |
| D1206 | Topical application of fluoride varnish | 0% | 84 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 46 | $0.00 |
| D4910 | 0% | 40 | $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 officialROTHENBERGER, KELLY (OFFICE MANAGER)
Parent organizationLADYSMITH DENTAL CENTER