Dental
Evolve Dental Medspa
Evolve Dental Medspa was paid $4K by Medicaid between Nov 2024 and Dec 2024, across 4 billing codes. Its largest line is D1354, — 53% of everything it billed.
33Billing provider infoEVOLVE DENTAL MEDSPA
SMYRNA, TN 37167
SMYRNA, TN 37167
33aNPI1164261822assigned 05/22/2024
33bProvider typeDentist
28Total paid$4K
24GClaims545
24DCodes billed4
24AFirst – last monthNov 2024 – Dec 2024
Compared with peers
Next to other Dentist providers in Tennessee
Rank by total paid#221 of 242
Median peer was paid$164K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 545 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1354 | 53% | 473 | 31 | $2K | |
| D1110 | Prophylaxis - adult | 27% | 29 | 29 | $1K |
| D1206 | Topical application of fluoride varnish | 15% | 31 | 31 | $556.20 |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.7% | 12 | 12 | $214.97 |
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 officialLANVIN, ALEXA (OFFICE MANAGER)
Parent organizationCRYSTAL CLEAR FAMILY DENTISTRY