Dental
Pediatric Dental Centers, PC
Pediatric Dental Centers, PC was paid $1.78M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL CENTERS, PC
TULLAHOMA, TN 37388
TULLAHOMA, TN 37388
33aNPI1063665040assigned 11/04/2008
33bProvider typePediatric Dentist
28Total paid$1.78M
24GClaims78,163
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Tennessee
Rank by total paid#41 of 112
Median peer was paid$1.03M
This provider vs. median1.7×
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 | 10,153 | $210K | |
| 2019 | 10,780 | $233K | |
| 2020 | 8,963 | $204K | |
| 2021 | 11,761 | $274K | |
| 2022 | 11,794 | $275K | |
| 2023 | 12,832 | $305K | |
| 2024incomplete | 11,880 | $284K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 13,892 | 13,844 | $479K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 13,538 | 13,492 | $337K |
| D1208 | Topical application of fluoride, excluding varnish | 16% | 13,367 | 13,318 | $284K |
| D1110 | Prophylaxis - adult | 7.5% | 2,992 | 2,982 | $133K |
| D0272 | Bitewings - two radiographic images | 7.2% | 6,999 | 6,968 | $128K |
| D0220 | Intraoral - periapical first radiographic image | 6.2% | 8,723 | 8,686 | $110K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.7% | 8,538 | 8,491 | $83K |
| D1206 | Topical application of fluoride varnish | 3.9% | 3,364 | 3,357 | $70K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 2,306 | 2,298 | $68K |
| D1351 | Sealant - per tooth | 2.4% | 1,378 | 411 | $43K |
| D0145 | Oral evaluation for a patient under three years of age | 1.1% | 835 | 833 | $21K |
| D1354 | <1% | 2,017 | 941 | $17K |
1 more codes
| D0330 | Panoramic radiographic image | <1% | 214 | $10K |
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 officialLYNN, STEVE (PRESIDENT)