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

Cookeville Regional Dental INC

Cookeville Regional Dental INC was paid $5.40M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 12% of everything it billed.

33Billing provider infoCOOKEVILLE REGIONAL DENTAL INC
COOKEVILLE, TN 38501
33aNPI1124283932assigned 07/21/2008
33bProvider typePediatric Dentist
28Total paid$5.40M
24GClaims121,945
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Tennessee

Rank by total paid#17 of 112
Median peer was paid$1.03M
This provider vs. median5.2×

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$50K$100K$150K2018201920202021202220232024
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
201819,432$945K
201922,091$1.17M
202016,055$724K
202118,086$734K
202214,941$570K
202317,592$704K
2024incomplete13,748$547K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 12% 9,564 5,223 $665K
D2740 Crown - porcelain/ceramic 10% 1,121 644 $558K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 8.4% 18,927 18,660 $454K
D1120 Dental cleaning, childProphylaxis - child 8.0% 12,794 12,648 $430K
D1110 Prophylaxis - adult 7.1% 9,000 8,836 $384K
D2391 Resin-based composite - one surface, posterior, primary or permanent 6.2% 5,789 3,577 $336K
D1206 Topical application of fluoride varnish 6.2% 16,352 16,127 $335K
D8670 Periodic orthodontic treatment visit 6.0% 3,537 3,379 $324K
D7240 Removal of impacted tooth - completely bony 5.0% 1,156 397 $268K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 3.5% 2,393 1,581 $191K
D2930 Prefabricated stainless steel crown - primary tooth 3.5% 1,767 738 $189K
D0274 Bitewings - four radiographic images 3.5% 7,330 7,189 $188K
23 more codes
D0330 Panoramic radiographic image 2.6% 4,237 $142K
D2950 2.4% 1,214 $130K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 2.1% 1,310 $113K
D0272 Bitewings - two radiographic images 2.0% 6,183 $110K
D1208 Topical application of fluoride, excluding varnish 1.9% 4,865 $100K
D3330 Endodontic therapy, molar tooth (excluding final restoration) 1.4% 154 $74K
D7140 Extraction, erupted tooth or exposed root 1.2% 1,107 $65K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1.1% 2,142 $61K
D0150 Comprehensive oral evaluation - new or established patient 1.1% 2,141 $60K
D9222 <1% 594 $53K
D0220 Intraoral - periapical first radiographic image <1% 3,716 $40K
D0140 Limited oral evaluation - problem focused <1% 1,302 $28K
D7230 <1% 124 $25K
D8660 <1% 333 $16K
D1351 Sealant - per tooth <1% 415 $11K
D0230 Intraoral - periapical each additional radiographic image <1% 1,729 $11K
D4346 <1% 232 $10K
D2332 <1% 113 $9K
D2335 <1% 77 $6K
D2330 <1% 85 $4K
D0210 Intraoral - complete series of radiographic images <1% 81 $3K
D0145 Oral evaluation for a patient under three years of age <1% 46 $1K
D2331 <1% 15 $1K

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 officialJOHNSON, REGINA (OFFICE MANAGER)