Clinic
Delta Family Dental, PLLC
Delta Family Dental, PLLC was paid $656K by Medicaid between Oct 2020 and Dec 2024, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 30% of everything it billed.
33Billing provider infoDELTA FAMILY DENTAL, PLLC
CLEVELAND, MS 38732
CLEVELAND, MS 38732
33aNPI1124644455assigned 06/23/2020
33bProvider typeDental Clinic/Center
28Total paid$656K
24GClaims18,800
24DCodes billed16
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Mississippi
Rank by total paid#10 of 53
Median peer was paid$44K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2020 | 648 | $8K | |
| 2021 | 4,305 | $112K | |
| 2022 | 5,032 | $192K | |
| 2023 | 4,722 | $184K | |
| 2024incomplete | 4,093 | $159K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 30% | 2,039 | 901 | $200K |
| D0140 | Limited oral evaluation - problem focused | 17% | 3,010 | 2,465 | $110K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 2,636 | 2,300 | $73K |
| D1206 | Topical application of fluoride varnish | 8.3% | 2,508 | 2,189 | $55K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.4% | 1,371 | 1,148 | $42K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.8% | 314 | 202 | $38K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.5% | 1,117 | 1,004 | $30K |
| D0274 | Bitewings - four radiographic images | 4.2% | 1,142 | 952 | $27K |
| D0330 | Panoramic radiographic image | 3.5% | 703 | 570 | $23K |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 2,163 | 1,719 | $22K |
| D7140 | Extraction, erupted tooth or exposed root | 1.9% | 289 | 120 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 864 | 416 | $7K |
4 more codes
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 officialMANGUM, LANTHEA (COO)
| Provider | Location | Paid |
|---|---|---|
| Lexington Dental, PLLC | Lexington, MS | $475K |
| Leaf River Dental, PLLC | Petal, MS | $224K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.