Dental
Spark Dental TN, PLLC
Spark Dental TN, PLLC was paid $33.72M by Medicaid between Jan 2022 and Dec 2024, across 52 billing codes. Its largest line is D1120, dental cleaning, child — 14% of everything it billed.
33Billing provider infoSPARK DENTAL TN, PLLC
SMYRNA, TN 37167
SMYRNA, TN 37167
33aNPI1154087120assigned 11/13/2021
33bProvider typePediatric Dentist
28Total paid$33.72M
24GClaims973,245
24DCodes billed52
24AFirst – last monthJan 2022 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Tennessee
Rank by total paid#1 of 112
Median peer was paid$1.03M
This provider vs. median33×
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 | |
|---|---|---|---|
| 2022 | 314,339 | $10.78M | |
| 2023 | 353,962 | $12.19M | |
| 2024incomplete | 304,944 | $10.75M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 144,065 | 136,444 | $4.65M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 12% | 39,004 | 14,999 | $4.07M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 145,610 | 138,096 | $3.46M |
| D1206 | Topical application of fluoride varnish | 9.7% | 159,226 | 151,081 | $3.28M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.3% | 35,137 | 19,403 | $2.46M |
| D7140 | Extraction, erupted tooth or exposed root | 5.4% | 33,151 | 15,872 | $1.82M |
| D8670 | Periodic orthodontic treatment visit | 4.7% | 19,964 | 15,972 | $1.58M |
| D9248 | 4.5% | 19,640 | 17,907 | $1.51M | |
| D1110 | Prophylaxis - adult | 3.9% | 31,747 | 30,177 | $1.31M |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.3% | 18,890 | 12,184 | $1.10M |
| D1351 | Sealant - per tooth | 2.9% | 33,808 | 10,758 | $989K |
| D0210 | Intraoral - complete series of radiographic images | 2.8% | 17,844 | 16,865 | $946K |
40 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 30,292 | $842K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.4% | 28,496 | $797K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.3% | 10,352 | $791K |
| D0272 | Bitewings - two radiographic images | 2.3% | 52,889 | $784K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 47,781 | $556K |
| D0274 | Bitewings - four radiographic images | 1.0% | 15,430 | $352K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 36,875 | $323K |
| D0330 | Panoramic radiographic image | <1% | 6,728 | $281K |
| D0140 | Limited oral evaluation - problem focused | <1% | 12,948 | $276K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 2,815 | $224K |
| D1510 | <1% | 1,430 | $202K | |
| D8660 | <1% | 4,260 | $194K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 10,105 | $180K |
| D2934 | <1% | 1,447 | $148K | |
| D2929 | <1% | 1,081 | $110K | |
| D2330 | <1% | 1,577 | $84K | |
| D2332 | <1% | 904 | $69K | |
| D8020 | <1% | 58 | $54K | |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | <1% | 39 | $48K |
| D1354 | <1% | 4,563 | $39K | |
| D3230 | <1% | 682 | $38K | |
| D7240 | Removal of impacted tooth - completely bony | <1% | 123 | $30K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 303 | $24K |
| D9222 | <1% | 271 | $22K | |
| D2331 | <1% | 276 | $18K | |
| D2390 | <1% | 104 | $16K | |
| D2931 | <1% | 117 | $15K | |
| D7230 | <1% | 41 | $8K | |
| D8680 | <1% | 23 | $4K | |
| D9612 | <1% | 83 | $3K | |
| D1353 | <1% | 177 | $3K | |
| D2335 | <1% | 37 | $3K | |
| D1517 | <1% | 13 | $3K | |
| D9610 | <1% | 95 | $2K | |
| D9420 | <1% | 2,057 | $725.00 | |
| D0160 | <1% | 338 | $647.85 | |
| D4346 | <1% | 66 | $131.64 | |
| D0270 | <1% | 14 | $59.10 | |
| D1330 | 0% | 251 | $0.00 | |
| D3110 | 0% | 18 | $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 officialGOINGS, CAROL (REGIONAL MANAGER)
Parent organizationSPARK DENTAL TN, PLLC
| Provider | Location | Paid |
|---|---|---|
| Spark Dental Va, PLLC | Bristol, VA | $22K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.