Dental
M Minnieville Dental Care PLLC
M Minnieville Dental Care PLLC was paid $115K by Medicaid between Feb 2021 and Aug 2024, across 14 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 27% of everything it billed.
33Billing provider infoM MINNIEVILLE DENTAL CARE PLLC
WOODBRIDGE, VA 22193
WOODBRIDGE, VA 22193
33aNPI1952907842assigned 12/07/2020
33bProvider typeDentist
28Total paid$115K
24GClaims4,056
24DCodes billed14
24AFirst – last monthFeb 2021 – Aug 2024
Compared with peers
Next to other Dentist providers in Virginia
Rank by total paid#133 of 417
Median peer was paid$34K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2021 | 1,365 | $46K | |
| 2022 | 1,654 | $59K | |
| 2023 | 731 | $9K | |
| 2024incomplete | 306 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 27% | 341 | 182 | $31K |
| D1110 | Prophylaxis - adult | 20% | 599 | 596 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 450 | 394 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.6% | 139 | 83 | $11K |
| D0274 | Bitewings - four radiographic images | 8.5% | 401 | 392 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.6% | 579 | 578 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 4.7% | 607 | 563 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.4% | 323 | 272 | $3K |
| D0140 | Limited oral evaluation - problem focused | 1.9% | 85 | 80 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.8% | 69 | 69 | $2K |
| D9994 | 1.7% | 251 | 227 | $2K | |
| D9920 | 1.6% | 40 | 39 | $2K |
2 more codes
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 officialRIVAS OSORIO, GELLY (OPERATIONS MANAGER)
Parent organizationMOMENTUM DENTAL CARE