Dental
Peach Tree for Kids - Ruston, LLC
Peach Tree for Kids - Ruston, LLC was paid $8.98M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 14% of everything it billed.
33Billing provider infoPEACH TREE FOR KIDS - RUSTON, LLC
RUSTON, LA 71270
RUSTON, LA 71270
33aNPI1144569252assigned 02/08/2013
33bProvider typePediatric Dentist
28Total paid$8.98M
24GClaims186,013
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Louisiana
Rank by total paid#9 of 98
Median peer was paid$469K
This provider vs. median19×
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 | 30,139 | $1.36M | |
| 2019 | 29,163 | $1.33M | |
| 2020 | 24,730 | $1.16M | |
| 2021 | 29,472 | $1.37M | |
| 2022 | 22,238 | $1.14M | |
| 2023 | 28,678 | $1.20M | |
| 2024incomplete | 21,593 | $1.41M |
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 | 14% | 14,269 | 7,546 | $1.25M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 10% | 7,321 | 2,722 | $916K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.8% | 22,876 | 22,244 | $791K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.7% | 25,203 | 24,461 | $689K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 6.6% | 6,674 | 2,472 | $593K |
| D1110 | Prophylaxis - adult | 5.5% | 10,269 | 9,884 | $492K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.4% | 13,536 | 12,498 | $480K |
| D1208 | Topical application of fluoride, excluding varnish | 4.8% | 21,995 | 21,384 | $434K |
| D0272 | Bitewings - two radiographic images | 4.5% | 18,899 | 18,312 | $403K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.0% | 3,333 | 2,267 | $358K |
| D2931 | 3.6% | 1,858 | 1,183 | $324K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 3.3% | 679 | 532 | $295K |
20 more codes
| D7140 | Extraction, erupted tooth or exposed root | 2.9% | 3,725 | $257K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.6% | 3,401 | $235K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 4,967 | $233K |
| D2390 | 2.3% | 938 | $211K | |
| D2950 | 2.1% | 1,632 | $185K | |
| D1206 | Topical application of fluoride varnish | 1.9% | 7,038 | $170K |
| D2332 | 1.5% | 1,054 | $137K | |
| D0145 | Oral evaluation for a patient under three years of age | 1.4% | 2,714 | $124K |
| D1351 | Sealant - per tooth | 1.1% | 3,333 | $97K |
| D7111 | <1% | 1,526 | $87K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 3,614 | $50K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,795 | $40K |
| D9243 | <1% | 387 | $35K | |
| D9239 | <1% | 395 | $30K | |
| D2330 | <1% | 249 | $19K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 986 | $15K |
| D9420 | <1% | 117 | $11K | |
| D2335 | <1% | 56 | $10K | |
| D0330 | Panoramic radiographic image | <1% | 104 | $8K |
| D9248 | <1% | 70 | $3K |
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 officialROBERTS, JESSE (OWNER/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| J & J Dental | Monroe, LA | $2.16M |
| Southern Pines Dental, LLC | Arcadia, LA | $666K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.