Dental
Watauga Dental Center, PLLC
Watauga Dental Center, PLLC was paid $8.04M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is D0120, dental checkup, returning patient — 13% of everything it billed.
33Billing provider infoWATAUGA DENTAL CENTER, PLLC
KINGSPORT, TN 37660
KINGSPORT, TN 37660
33aNPI1114118130assigned 08/05/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$8.04M
24GClaims279,484
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Tennessee
Rank by total paid#5 of 336
Median peer was paid$123K
This provider vs. median65×
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 | 39,278 | $1.15M | |
| 2019 | 41,484 | $1.30M | |
| 2020 | 31,411 | $993K | |
| 2021 | 38,972 | $1.16M | |
| 2022 | 34,940 | $1.05M | |
| 2023 | 53,332 | $1.42M | |
| 2024incomplete | 40,067 | $977K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 45,105 | 44,261 | $1.05M |
| D1206 | Topical application of fluoride varnish | 13% | 50,546 | 49,643 | $1.02M |
| D1110 | Prophylaxis - adult | 12% | 23,012 | 22,533 | $963K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 28,942 | 28,424 | $954K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 7.8% | 8,580 | 6,362 | $626K |
| D0274 | Bitewings - four radiographic images | 6.1% | 18,643 | 18,255 | $493K |
| D2140 | 5.0% | 6,601 | 5,056 | $402K | |
| D0330 | Panoramic radiographic image | 4.6% | 8,274 | 8,153 | $373K |
| D1351 | Sealant - per tooth | 4.1% | 10,722 | 3,449 | $330K |
| D9630 | 3.2% | 10,902 | 10,637 | $261K | |
| D7140 | Extraction, erupted tooth or exposed root | 2.5% | 3,371 | 2,261 | $204K |
| D0272 | Bitewings - two radiographic images | 2.2% | 10,088 | 9,904 | $179K |
20 more codes
| D1354 | 1.9% | 17,094 | $155K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.9% | 2,028 | $149K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 12,495 | $149K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 4,679 | $133K |
| D2740 | Crown - porcelain/ceramic | 1.5% | 260 | $120K |
| D2160 | 1.3% | 1,274 | $106K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 1,596 | $99K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 7,408 | $69K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,958 | $46K |
| D1353 | <1% | 1,494 | $42K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 86 | $36K |
| D2950 | <1% | 214 | $24K | |
| D2335 | <1% | 193 | $17K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 635 | $14K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 299 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 70 | $6K |
| D2332 | <1% | 72 | $6K | |
| D2331 | <1% | 62 | $4K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 43 | $2K |
| D9986 | 0% | 2,738 | $0.00 |
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 officialDAVIS, CLAYTON (MANAGER)