Dental
Roy a Hudson III DDS Vance Avenue Dental Clinic
Roy a Hudson III DDS Vance Avenue Dental Clinic was paid $891K by Medicaid between Jan 2018 and May 2021, across 15 billing codes. Its largest line is D2140, — 37% of everything it billed.
33Billing provider infoROY A HUDSON III DDS VANCE AVENUE DENTAL CLINIC
MEMPHIS, TN 38126
MEMPHIS, TN 38126
33aNPI1063685501assigned 04/04/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$891K
24GClaims28,689
24DCodes billed15
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other General Practice Dentistry providers in Tennessee
Rank by total paid#54 of 336
Median peer was paid$123K
This provider vs. median7.3×
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 | 9,638 | $304K | |
| 2019 | 9,460 | $298K | |
| 2020 | 6,935 | $210K | |
| 2021 | 2,656 | $80K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2140 | 37% | 5,737 | 2,172 | $328K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 4,655 | 4,423 | $106K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 3,580 | 3,404 | $102K |
| D1208 | Topical application of fluoride, excluding varnish | 8.9% | 4,275 | 4,070 | $79K |
| D1351 | Sealant - per tooth | 8.0% | 2,831 | 1,093 | $72K |
| D0210 | Intraoral - complete series of radiographic images | 6.2% | 1,082 | 1,019 | $56K |
| D1110 | Prophylaxis - adult | 5.5% | 1,357 | 1,260 | $49K |
| D0272 | Bitewings - two radiographic images | 4.4% | 2,352 | 2,241 | $40K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 1,492 | 1,354 | $16K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.5% | 183 | 140 | $13K |
| D9110 | 1.3% | 263 | 252 | $12K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 107 | 86 | $7K |
3 more codes
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 officialHUDSON, ROY (OWNER/DENTIST)