Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Dental Associates of Southwest Georgia, LLC

Dental Associates of Southwest Georgia, LLC was paid $231K by Medicaid between Jan 2018 and Mar 2019, across 18 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 31% of everything it billed.

33Billing provider infoDENTAL ASSOCIATES OF SOUTHWEST GEORGIA, LLC
CAIRO, GA 39828
33aNPI1104843861assigned 07/17/2006
28Total paid$231K
24GClaims6,477
24DCodes billed18
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers

Next to other General Practice Dentistry providers in Georgia

Rank by total paid#19 of 63
Median peer was paid$30K
This provider vs. median7.6×

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

$0$20K$40K$60K2018201920202021202220232024
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
20186,201$217K
2019276$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 31% 1,008 616 $72K
D1120 Dental cleaning, childProphylaxis - child 12% 896 889 $27K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 11% 297 196 $24K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 9.7% 1,044 1,039 $22K
D1208 Topical application of fluoride, excluding varnish 6.3% 886 880 $15K
D0272 Bitewings - two radiographic images 6.3% 720 715 $14K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4.3% 189 150 $10K
D7140 Extraction, erupted tooth or exposed root 4.2% 183 124 $10K
D1110 Prophylaxis - adult 3.0% 230 230 $7K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2.8% 284 253 $6K
D0274 Bitewings - four radiographic images 2.7% 203 201 $6K
D0210 Intraoral - complete series of radiographic images 2.1% 80 80 $5K
6 more codes
D0140 Limited oral evaluation - problem focused 1.6% 134 $4K
D0150 Comprehensive oral evaluation - new or established patient 1.0% 98 $2K
D2394 <1% 36 $2K
D0220 Intraoral - periapical first radiographic image <1% 136 $2K
D9630 <1% 41 $1K
D0330 Panoramic radiographic image <1% 12 $675.66

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 officialLEGGETT JR, THOMAS (OWNER/OPERATOR)