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    OpenPayerNPI Medicare & MedicaidChildren's Dentistry Of Charlottesville, P.C.
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    Children's Dentistry Of Charlottesville, P.C. — Billing Profile & Reimbursement Data

    NPI 1265813042 · Charlottesville, VA · Dentist

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    Children's Dentistry Of Charlottesville, P.C. is a dentist provider located in Charlottesville, Virginia. This profile covers 0 Medicare and 38 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Progress1 / 7

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationChildren's Dentistry Of Charlottesville, P.C.
    Address1470 Pantops Mountain Pl
    CityCharlottesville
    StateVA
    ZIP22911
    TaxonomyDentist
    NPI EnumeratedJune 17, 2015

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$11M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    38 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2930N/A17,000$120$2M
    D9223N/A30,450$60$1.7M
    D2391Resin‑based composite – one surface, posterior12,840$60$783.2K
    D1120Prophylaxis–child27,770$30$749.7K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients37,210$20$632.6K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)10,690$60$630.9K
    D2392Post 2 surface resin‑based composite8,200$70$606.4K
    D0120Periodic oral evaluation - established patient31,180$20$530.1K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth10,270$40$421.2K
    D1351Sealant - per tooth14,600$30$394.3K

    Showing 1–10 of 38

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Virginia median

    38 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2934N/A4101,590$150$434.8K
    D7240N/A4770380$200$326.5K
    D2930N/A3150330$120$226.8K
    D9223N/A190920$60$165.5K
    D2392Post 2 surface resin‑based composite12690280$70$88.1K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)14420370$50$84.1K
    D1120Prophylaxis–child13840390$30$81.6K
    D2391Resin‑based composite – one surface, posterior7560260$60$69.7K
    D3220N/A2760200$70$62.5K
    D1351Sealant - per tooth9310340$30$61.8K

    Showing 1–10 of 38

    Nearby Providers

    Other providers in the same ZIP code as Children's Dentistry Of Charlottesville, P.C., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of Virginia Physicians GroupVASports Medicine (Neuromusculoskeletal Medicine) Physician$0$84.6M
    Compass Youth ServicesVACommunity/Behavioral Health Agency$0$63.5M
    Martha Jefferson HospitalVAGeneral Acute Care Hospital$0$26.9M
    Addiction Recovery Systems LLCVAMethadone Clinic$127.5K$11.5M
    Mohit NandaVARetina Specialist (Ophthalmology) Physician$4.6M$0
    Jacob MeyerVARetina Specialist (Ophthalmology) Physician$3.8M$0
    Scott ChirichettiVAPain Medicine Physician$1.1M$0
    Stephen VanceVAMOHS-Micrographic Surgery Physician$924.6K$0
    Vandana NandaVAMOHS-Micrographic Surgery Physician$912.2K$0
    Richard MessingerVAPain Medicine Physician$489.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Virginia Providers
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Children's Dentistry Of Charlottesville, P.C. — 21 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia