Dental
Ellisville State School Dental
Ellisville State School Dental was paid $4K by Medicaid between Feb 2018 and Oct 2019, across 1 billing code. Its largest line is D0140, Limited oral evaluation - problem focused — 100% of everything it billed.
33Billing provider infoELLISVILLE STATE SCHOOL DENTAL
ELLISVILLE, MS 39437
ELLISVILLE, MS 39437
33aNPI1013085414assigned 12/01/2006
33bProvider typeDentist
28Total paid$4K
24GClaims122
24DCodes billed1
24AFirst – last monthFeb 2018 – Oct 2019
Compared with peers
Next to other Dentist providers in Mississippi
Rank by total paid#212 of 261
Median peer was paid$64K
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 | 83 | $3K | |
| 2019 | 39 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 100% | 122 | 107 | $4K |
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 officialLASSITER, SUZIE (DIRECTOR OF FACILITY)
| Provider | Location | Paid |
|---|---|---|
| Home Community Base Waiver - Ess | Ellisville, MS | $12.73M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.