Dental
Starlight Smiles Pediatric Dentistry, P.C.
Starlight Smiles Pediatric Dentistry, P.C. was paid $112K by Medicaid between Dec 2021 and Sep 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.
33Billing provider infoSTARLIGHT SMILES PEDIATRIC DENTISTRY, P.C.
MANASSAS, VA 20109
MANASSAS, VA 20109
33aNPI1932788759assigned 04/07/2021
33bProvider typePediatric Dentist
28Total paid$112K
24GClaims8,949
24DCodes billed19
24AFirst – last monthDec 2021 – Sep 2024
Compared with peers
Next to other Pediatric Dentist providers in Virginia
Rank by total paid#87 of 140
Median peer was paid$234K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2021 | 61 | $2K | |
| 2022 | 1,441 | $44K | |
| 2023 | 4,415 | $65K | |
| 2024incomplete | 3,032 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 1,795 | 1,764 | $30K |
| D1206 | Topical application of fluoride varnish | 18% | 1,989 | 1,959 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 646 | 632 | $14K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 7.9% | 466 | 402 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.8% | 1,099 | 1,087 | $8K |
| D0272 | Bitewings - two radiographic images | 6.7% | 777 | 766 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.2% | 112 | 66 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.4% | 105 | 38 | $5K |
| D0240 | 2.9% | 455 | 228 | $3K | |
| D0330 | Panoramic radiographic image | 2.7% | 153 | 151 | $3K |
| D1351 | Sealant - per tooth | 2.2% | 327 | 96 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 417 | 402 | $2K |
7 more codes
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 182 | $894.20 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 44 | $759.80 |
| D2930 | Prefabricated stainless steel crown - primary tooth | 0% | 81 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 14 | $0.00 |
| D1354 | 0% | 200 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 72 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 15 | $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 officialESCARIO, CLAIRE (OWNER)