Dental
Dentists on Grove Avenue PC
Dentists on Grove Avenue PC was paid $14K by Medicaid between Apr 2023 and Sep 2024, across 12 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 57% of everything it billed.
33Billing provider infoDENTISTS ON GROVE AVENUE PC
RICHMOND, VA 23221
RICHMOND, VA 23221
33aNPI1962108142assigned 01/31/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$14K
24GClaims2,339
24DCodes billed12
24AFirst – last monthApr 2023 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#332 of 549
Median peer was paid$29K
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 | |
|---|---|---|---|
| 2023 | 950 | $14K | |
| 2024incomplete | 1,389 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 57% | 560 | 549 | $8K |
| D1110 | Prophylaxis - adult | 19% | 336 | 332 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 319 | 317 | $2K |
| D0140 | Limited oral evaluation - problem focused | 11% | 422 | 409 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 47 | 44 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 60 | 26 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 17 | 17 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 165 | 161 | $0.00 |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 0% | 329 | 135 | $0.00 |
| D2740 | Crown - porcelain/ceramic | 0% | 27 | 15 | $0.00 |
| D2950 | 0% | 15 | 12 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 42 | 42 | $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 officialESTRADA, KATHERINE (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Modern Dentistry | North Chesterfield, VA | $933.61 |
| Movak PC | Haymarket, VA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.