Virginia Pediatric Dentistry PC

Virginia Pediatric Dentistry PC was paid $67K by Medicaid between Jan 2018 and Sep 2019, across 10 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 64% of everything it billed.

33Billing provider infoVIRGINIA PEDIATRIC DENTISTRY PC
KESWICK, VA 22947

33aNPI1912382243assigned 07/28/2015

33bProvider typeDental Clinic/Center

28Total paid$67K

24GClaims788

24DCodes billed10

24AFirst – last monthJan 2018 – Sep 2019

Compared with peers

Next to other Dental Clinic/Center providers in Virginia

Rank by total paid#74 of 142

Median peer was paid$75K

This provider vs. median0.9×

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	651	$58K
2019	137	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2930	Prefabricated stainless steel crown - primary tooth	64%	314	51	$42K
D7140	Extraction, erupted tooth or exposed root	16%	158	26	$11K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	6.3%	66	13	$4K
D9310		4.0%	32	32	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	3.6%	35	13	$2K
D9630		2.9%	98	98	$2K
D9222		1.2%	13	13	$832.00
D9612		<1%	13	13	$516.62
D0240		<1%	32	16	$392.64
D0220	Intraoral - periapical first radiographic image	<1%	27	27	$257.14

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 officialCARNEY, JACQUELINE (PRESIDENT)