Dental
Crystal City Dental Arts Center
Crystal City Dental Arts Center was paid $13K by Medicaid between Feb 2020 and Apr 2024, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 64% of everything it billed.
33Billing provider infoCRYSTAL CITY DENTAL ARTS CENTER
ARLINGTON, VA 22202
ARLINGTON, VA 22202
33aNPI1932467180assigned 04/25/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$13K
24GClaims460
24DCodes billed5
24AFirst – last monthFeb 2020 – Apr 2024
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#339 of 549
Median peer was paid$29K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2020 | 12 | $125.24 | |
| 2021 | 92 | $3K | |
| 2022 | 125 | $4K | |
| 2023 | 202 | $5K | |
| 2024incomplete | 29 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 64% | 226 | 223 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 122 | 120 | $2K |
| D0274 | Bitewings - four radiographic images | 12% | 57 | 57 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.6% | 37 | 37 | $857.84 |
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 18 | 17 | $261.54 |
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 officialFAVAGEHI, JASON (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Jason Farr Favagehi DDS III PC | Chantilly, VA | $34K |
| Jason Farr Favagehi DDC PC | Vienna, VA | $12K |
| Jason F Favagehi DDS PC | Arlington, VA | $3K |
| Crystal Smile, PLLC | Arlington, VA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.