Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

TDG Dental Group PLLC

TDG Dental Group PLLC was paid $1.01M by Medicaid between Jan 2019 and Sep 2024, across 23 billing codes. Its largest line is D1110, Prophylaxis - adult — 20% of everything it billed.

33Billing provider infoTDG DENTAL GROUP PLLC
WOODBRIDGE, VA 22192
33aNPI1992274153assigned 11/16/2018
28Total paid$1.01M
24GClaims44,731
24DCodes billed23
24AFirst – last monthJan 2019 – Sep 2024
Compared with peers

Next to other General Practice Dentistry providers in Virginia

Rank by total paid#41 of 549
Median peer was paid$29K
This provider vs. median34×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official GOMEZ, STEPHANIE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20192,933$50K
20205,381$110K
20219,772$318K
202210,782$359K
202310,622$173K
2024incomplete5,241$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 20% 5,308 5,145 $199K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 9.9% 1,099 624 $99K
D9630 8.2% 5,581 5,499 $83K
D0274 Bitewings - four radiographic images 8.0% 3,605 3,495 $81K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 7.8% 5,213 5,117 $79K
D1208 Topical application of fluoride, excluding varnish 5.6% 2,988 2,950 $56K
D0220 Intraoral - periapical first radiographic image 5.5% 6,622 5,614 $55K
D0150 Comprehensive oral evaluation - new or established patient 5.3% 2,031 1,686 $53K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 5.1% 445 291 $52K
D2740 Crown - porcelain/ceramic 4.3% 86 61 $43K
D0330 Panoramic radiographic image 4.2% 1,241 807 $43K
D0140 Limited oral evaluation - problem focused 3.8% 1,832 1,525 $39K
11 more codes
D0230 Intraoral - periapical each additional radiographic image 3.0% 3,636 $31K
D1120 Dental cleaning, child 2.6% 861 $26K
D0210 Intraoral - complete series of radiographic images 2.6% 922 $26K
D2950 1.9% 165 $19K
D9994 1.0% 2,743 $10K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 155 $9K
D9310 <1% 67 $3K
D4355 <1% 13 $991.36
D0272 Bitewings - two radiographic images <1% 41 $952.75
D8670 Periodic orthodontic treatment visit 0% 12 $0.00
D4910 0% 65 $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 officialGOMEZ, STEPHANIE (CREDENTIALING SUPERVISOR)
Same official

Other billing entities under GOMEZ, STEPHANIE

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.