Clinic
One Loudoun Dental LLC
One Loudoun Dental LLC was paid $438.34 by Medicaid between Nov 2021 and Apr 2024, across 3 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 100% of everything it billed.
33Billing provider infoONE LOUDOUN DENTAL LLC
ASHBURN, VA 20147
ASHBURN, VA 20147
33aNPI1952872285assigned 12/16/2018
33bProvider typeDental Clinic/Center
28Total paid$438.34
24GClaims53
24DCodes billed3
24AFirst – last monthNov 2021 – Apr 2024
Compared with peers
Next to other Dental Clinic/Center providers in Virginia
Rank by total paid#121 of 142
Median peer was paid$75K
This provider vs. median0.0×
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 | 14 | $438.34 | |
| 2023 | 15 | $0.00 | |
| 2024incomplete | 24 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 100% | 26 | 24 | $438.34 |
| D9920 | 0% | 12 | 12 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 15 | 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 officialASHOURIPOUR, DARIUOSH (PRESIDENT)