Dental
Demewoz, Assefa
Demewoz, Assefa was paid $17K by Medicaid between Jun 2018 and Aug 2024, across 6 billing codes. Its largest line is D9920, — 25% of everything it billed.
33Billing provider infoDEMEWOZ, ASSEFA
LORTON, VA 22079
LORTON, VA 22079
33aNPI1932458007assigned 09/05/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$17K
24GClaims630
24DCodes billed6
24AFirst – last monthJun 2018 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#318 of 549
Median peer was paid$29K
This provider vs. median0.6×
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 | 116 | $4K | |
| 2019 | 228 | $7K | |
| 2020 | 28 | $564.20 | |
| 2022 | 68 | $2K | |
| 2023 | 153 | $4K | |
| 2024incomplete | 37 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9920 | 25% | 69 | 63 | $4K | |
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 117 | 111 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 210 | 203 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 129 | 129 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 69 | 69 | $2K |
| D1110 | Prophylaxis - adult | 8.9% | 36 | 36 | $2K |
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.