Dental
Clarksville Dental Center, PLLC
Clarksville Dental Center, PLLC was paid $256K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.
33Billing provider infoCLARKSVILLE DENTAL CENTER, PLLC
CLARKSVILLE, TN 37042
CLARKSVILLE, TN 37042
33aNPI1043388713assigned 12/01/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$256K
24GClaims10,618
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Tennessee
Rank by total paid#133 of 336
Median peer was paid$123K
This provider vs. median2.1×
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 | 2,908 | $69K | |
| 2019 | 1,745 | $41K | |
| 2020 | 1,524 | $35K | |
| 2021 | 1,561 | $37K | |
| 2022 | 1,476 | $35K | |
| 2023 | 910 | $25K | |
| 2024incomplete | 494 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 26% | 1,802 | 1,672 | $67K |
| D1206 | Topical application of fluoride varnish | 24% | 3,427 | 3,184 | $62K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 1,323 | 1,222 | $37K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 1,757 | 1,652 | $37K |
| D0274 | Bitewings - four radiographic images | 9.3% | 989 | 926 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 407 | 362 | $10K |
| D0330 | Panoramic radiographic image | 3.2% | 274 | 240 | $8K |
| D0272 | Bitewings - two radiographic images | 2.6% | 435 | 400 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 25 | 13 | $1K |
| D1351 | Sealant - per tooth | <1% | 55 | 12 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 24 | 14 | $1K |
| D1999 | 0% | 100 | 54 | $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 officialDEWALD, JOAN (PRACTICE ADMINISTRATOR)