Managed care
Premier Dental Arts, LLC
Premier Dental Arts, LLC was paid $92K by Medicaid between Jan 2018 and Sep 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoPREMIER DENTAL ARTS, LLC
FAIRFAX, VA 22033
FAIRFAX, VA 22033
33aNPI1992117741assigned 05/28/2014
33bProvider typePreferred Provider Organization
28Total paid$92K
24GClaims6,728
24DCodes billed11
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Preferred Provider Organization providers in Virginia
Rank by total paid#8 of 11
Median peer was paid$151K
This provider vs. median0.6×
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 | 219 | $2K | |
| 2019 | 237 | $3K | |
| 2020 | 583 | $7K | |
| 2021 | 1,301 | $21K | |
| 2022 | 1,550 | $33K | |
| 2023 | 1,868 | $26K | |
| 2024incomplete | 970 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 783 | 768 | $27K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 875 | 872 | $13K |
| D0274 | Bitewings - four radiographic images | 13% | 584 | 574 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 11% | 1,268 | 1,129 | $11K |
| D9994 | 11% | 1,673 | 1,510 | $10K | |
| D0230 | Intraoral - periapical each additional radiographic image | 9.5% | 1,046 | 849 | $9K |
| D1206 | Topical application of fluoride varnish | 4.5% | 239 | 237 | $4K |
| D0140 | Limited oral evaluation - problem focused | 2.2% | 102 | 84 | $2K |
| D0330 | Panoramic radiographic image | 1.9% | 54 | 51 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 76 | 68 | $2K |
| D9630 | <1% | 28 | 28 | $723.24 |
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 officialYU, FAN (DENTIST /OWNER)