Clinic
Champion Dentistry, LLC
Champion Dentistry, LLC was paid $148K by Medicaid between Jan 2023 and Mar 2024, across 10 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 57% of everything it billed.
33Billing provider infoCHAMPION DENTISTRY, LLC
LEBANON, TN 37087
LEBANON, TN 37087
33aNPI1053946525assigned 03/05/2020
33bProvider typeDental Clinic/Center
28Total paid$148K
24GClaims2,944
24DCodes billed10
24AFirst – last monthJan 2023 – Mar 2024
Compared with peers
Next to other Dental Clinic/Center providers in Tennessee
Rank by total paid#28 of 40
Median peer was paid$259K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2023 | 2,647 | $137K | |
| 2024incomplete | 297 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 57% | 1,290 | 318 | $85K |
| D0330 | Panoramic radiographic image | 19% | 677 | 653 | $28K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 565 | 535 | $15K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.7% | 134 | 89 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.2% | 62 | 48 | $5K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.1% | 30 | 18 | $3K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 97 | 95 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 42 | 39 | $819.40 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 32 | 32 | $699.05 |
| D1110 | Prophylaxis - adult | <1% | 15 | 15 | $638.82 |
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 officialCHAMPION, DERRICK (OWNER)