Dental
Dandridge Pediatric Dentistry
Dandridge Pediatric Dentistry was paid $6.10M by Medicaid between Jun 2020 and Dec 2024, across 26 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 17% of everything it billed.
33Billing provider infoDANDRIDGE PEDIATRIC DENTISTRY
DANDRIDGE, TN 37725
DANDRIDGE, TN 37725
33aNPI1144844879assigned 05/28/2020
33bProvider typePediatric Dentist
28Total paid$6.10M
24GClaims187,340
24DCodes billed26
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Tennessee
Rank by total paid#15 of 112
Median peer was paid$1.03M
This provider vs. median5.9×
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 | 13,392 | $408K | |
| 2021 | 40,782 | $1.26M | |
| 2022 | 45,303 | $1.45M | |
| 2023 | 39,034 | $1.22M | |
| 2024incomplete | 48,829 | $1.76M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 17% | 9,372 | 5,178 | $1.05M |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 25,418 | 25,242 | $861K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 8,589 | 5,440 | $631K |
| D1206 | Topical application of fluoride varnish | 9.1% | 26,224 | 26,039 | $558K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.6% | 7,761 | 4,991 | $466K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.3% | 15,848 | 15,738 | $386K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.8% | 12,307 | 11,684 | $356K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 9,961 | 9,878 | $290K |
| D0330 | Panoramic radiographic image | 4.0% | 5,821 | 5,762 | $241K |
| D7140 | Extraction, erupted tooth or exposed root | 3.5% | 3,722 | 2,462 | $213K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.4% | 24,867 | 8,005 | $210K |
| D1351 | Sealant - per tooth | 3.1% | 6,132 | 2,469 | $190K |
14 more codes
| D0272 | Bitewings - two radiographic images | 2.3% | 7,978 | $139K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 11,756 | $137K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.0% | 1,521 | $123K |
| D1110 | Prophylaxis - adult | 1.3% | 1,894 | $77K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,747 | $43K |
| D0274 | Bitewings - four radiographic images | <1% | 1,159 | $30K |
| D1354 | <1% | 3,665 | $26K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,028 | $23K |
| D2332 | <1% | 265 | $22K | |
| D2390 | <1% | 99 | $16K | |
| D2330 | <1% | 132 | $8K | |
| D1510 | <1% | 44 | $7K | |
| D2331 | <1% | 16 | $1K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 14 | $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 officialCHILDERS, VICTORIA (PEDIATRIC DENTIST/CO-OWNER)