Dental
Hickory Hill Dental Care
Hickory Hill Dental Care was paid $783K by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is D3330, Endodontic therapy, molar tooth (excluding final restoration) — 15% of everything it billed.
33Billing provider infoHICKORY HILL DENTAL CARE
MEMPHIS, TN 38114
MEMPHIS, TN 38114
33aNPI1023256393assigned 01/26/2009
33bProvider typeDentist
28Total paid$783K
24GClaims23,962
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in Tennessee
Rank by total paid#39 of 242
Median peer was paid$164K
This provider vs. median4.8×
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 | 5,227 | $130K | |
| 2019 | 7,530 | $202K | |
| 2020 | 2,558 | $66K | |
| 2021 | 1,689 | $42K | |
| 2022 | 1,571 | $43K | |
| 2023 | 3,468 | $232K | |
| 2024incomplete | 1,919 | $68K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 15% | 187 | 163 | $115K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 3,251 | 3,111 | $99K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 4,672 | 4,483 | $87K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 3,772 | 3,637 | $86K |
| D1110 | Prophylaxis - adult | 10% | 2,001 | 1,935 | $80K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.8% | 2,081 | 1,979 | $53K |
| D0330 | Panoramic radiographic image | 6.8% | 1,337 | 1,259 | $53K |
| D2140 | 6.2% | 843 | 373 | $48K | |
| D0272 | Bitewings - two radiographic images | 4.9% | 2,467 | 2,381 | $39K |
| D1351 | Sealant - per tooth | 2.6% | 808 | 222 | $20K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.4% | 143 | 52 | $19K |
| D9110 | 2.4% | 432 | 398 | $19K |
13 more codes
| D3320 | 2.4% | 37 | $19K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.7% | 176 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 977 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 158 | $10K |
| D1206 | Topical application of fluoride varnish | <1% | 190 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 120 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 44 | $3K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 21 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 31 | $698.20 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 30 | $390.40 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 37 | $207.64 |
| D9986 | 0% | 94 | $0.00 | |
| D1310 | 0% | 53 | $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 officialMYERS, LEE (DENTIST/OWNER)