Reston Sunrise Dentistry, PC

Reston Sunrise Dentistry, PC was paid $5K by Medicaid between Jan 2018 and Jun 2022, across 4 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 37% of everything it billed.

33Billing provider infoRESTON SUNRISE DENTISTRY, PC
RESTON, VA 20191

33aNPI1972790376assigned 09/29/2007

33bProvider typeDentist

28Total paid$5K

24GClaims192

24DCodes billed4

24AFirst – last monthJan 2018 – Jun 2022

Compared with peers

Next to other Dentist providers in Virginia

Rank by total paid#293 of 417

Median peer was paid$34K

This provider vs. median0.1×

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
2018	103	$3K
2019	37	$761.55
2020	27	$553.01
2022	25	$389.25

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1208	Topical application of fluoride, excluding varnish	37%	84	84	$2K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	33%	45	33	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	21%	50	50	$947.05
D1120	Dental cleaning, childProphylaxis - child	9.5%	13	13	$435.76

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 officialPHAM, HANAH (PRESIDENT)