Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hixson Pediatric Dentistry PLLC

Hixson Pediatric Dentistry PLLC was paid $3.19M by Medicaid between Jan 2018 and Feb 2024, across 25 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 35% of everything it billed.

33Billing provider infoHIXSON PEDIATRIC DENTISTRY PLLC
HIXSON, TN 37343
33aNPI1063814838assigned 09/23/2014
33bProvider typePediatric Dentist
28Total paid$3.19M
24GClaims99,530
24DCodes billed25
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers

Next to other Pediatric Dentist providers in Tennessee

Rank by total paid#29 of 112
Median peer was paid$1.03M
This provider vs. median3.1×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
201816,880$633K
201916,990$585K
202014,374$450K
202116,976$512K
202215,523$455K
202318,204$537K
2024incomplete583$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 35% 10,339 2,550 $1.10M
D1120 Dental cleaning, childProphylaxis - child 15% 16,059 15,747 $478K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 11% 15,527 15,244 $356K
D1206 Topical application of fluoride varnish 6.6% 11,366 11,082 $211K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4.4% 2,478 1,522 $141K
D0272 Bitewings - two radiographic images 4.3% 8,692 8,516 $137K
D1208 Topical application of fluoride, excluding varnish 3.9% 6,813 6,731 $124K
D1351 Sealant - per tooth 2.8% 3,272 942 $90K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2.7% 3,031 2,912 $86K
D0220 Intraoral - periapical first radiographic image 2.5% 6,820 6,564 $78K
D0140 Limited oral evaluation - problem focused 2.4% 3,469 3,388 $77K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 2.2% 898 353 $71K
13 more codes
D0330 Panoramic radiographic image 1.6% 1,194 $51K
D0230 Intraoral - periapical each additional radiographic image 1.5% 5,238 $46K
D7140 Extraction, erupted tooth or exposed root 1.3% 787 $42K
D1110 Prophylaxis - adult <1% 713 $28K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 371 $26K
D2140 <1% 228 $13K
D0150 Comprehensive oral evaluation - new or established patient <1% 433 $12K
D2934 <1% 109 $12K
D2330 <1% 33 $2K
D0145 Oral evaluation for a patient under three years of age <1% 80 $2K
D0274 Bitewings - four radiographic images <1% 66 $2K
D9420 <1% 1,489 $398.88
D0210 Intraoral - complete series of radiographic images <1% 25 $249.56

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 officialVICE, HUGH (SENIOR PARTNER)