Pearl Pediatric Dentistry and Orthodontics

Pearl Pediatric Dentistry and Orthodontics was paid $17K by Medicaid between Jun 2023 and Nov 2024, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 43% of everything it billed.

33Billing provider infoPEARL PEDIATRIC DENTISTRY AND ORTHODONTICS
MT. JULIET, TN 37122

33aNPI1093442444assigned 08/05/2022

33bProvider typePediatric Dentist

28Total paid$17K

24GClaims612

24DCodes billed5

24AFirst – last monthJun 2023 – Nov 2024

Compared with peers

Next to other Pediatric Dentist providers in Tennessee

Rank by total paid#99 of 112

Median peer was paid$1.03M

This provider vs. median0.0×

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	244	$7K
2024incomplete	368	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	43%	212	208	$7K
D1206	Topical application of fluoride varnish	27%	210	205	$5K
D0150	Comprehensive oral evaluation - new or established patient	17%	99	97	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	78	78	$2K
D0272	Bitewings - two radiographic images	1.1%	13	13	$187.10

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 officialSELDEN, BLERTA (PRESIDENT)