Dental
Wilson Family Dentistry
Wilson Family Dentistry was paid $439K by Medicaid between Jan 2018 and Jun 2020, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoWILSON FAMILY DENTISTRY
SELMER, TN 38375
SELMER, TN 38375
33aNPI1003278367assigned 03/25/2016
33bProvider typeDentist
28Total paid$439K
24GClaims14,926
24DCodes billed20
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Dentist providers in Tennessee
Rank by total paid#72 of 242
Median peer was paid$164K
This provider vs. median2.7×
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 | 6,574 | $194K | |
| 2019 | 6,404 | $191K | |
| 2020 | 1,948 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 2,249 | 2,216 | $69K |
| D1110 | Prophylaxis - adult | 13% | 1,474 | 1,441 | $58K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 2,357 | 2,320 | $52K |
| D1208 | Topical application of fluoride, excluding varnish | 9.6% | 2,373 | 2,349 | $42K |
| D8670 | Periodic orthodontic treatment visit | 8.3% | 401 | 346 | $37K |
| D0274 | Bitewings - four radiographic images | 5.9% | 1,060 | 1,040 | $26K |
| D9248 | 5.4% | 303 | 290 | $24K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.9% | 375 | 201 | $21K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.5% | 734 | 697 | $20K |
| D1206 | Topical application of fluoride varnish | 4.1% | 985 | 955 | $18K |
| D0330 | Panoramic radiographic image | 3.2% | 412 | 405 | $14K |
| D7140 | Extraction, erupted tooth or exposed root | 3.1% | 223 | 114 | $13K |
8 more codes
| D0272 | Bitewings - two radiographic images | 2.8% | 733 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.3% | 150 | $10K |
| D1351 | Sealant - per tooth | 1.4% | 245 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 559 | $6K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.2% | 65 | $5K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 29 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 186 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 13 | $380.25 |
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 officialKING, CHRISTINA (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Memorial Home Services | Springfield, IL | $3.45M |
| Regal Wellness LLC | Dayton, OH | $155K |
| King Rehab Services Company | Toms River, NJ | $103K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.