Dental
Pontotoc Family Dental PLLC
Pontotoc Family Dental PLLC was paid $16K by Medicaid between Jul 2018 and Jan 2019, across 9 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 25% of everything it billed.
33Billing provider infoPONTOTOC FAMILY DENTAL PLLC
PONTOTOC, MS 38863
PONTOTOC, MS 38863
33aNPI1164941936assigned 09/13/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$16K
24GClaims1,817
24DCodes billed9
24AFirst – last monthJul 2018 – Jan 2019
Compared with peers
Next to other General Practice Dentistry providers in Mississippi
Rank by total paid#274 of 379
Median peer was paid$78K
This provider vs. median0.2×
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 | 1,769 | $15K | |
| 2019 | 48 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 25% | 312 | 134 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 372 | 159 | $3K |
| D1206 | Topical application of fluoride varnish | 17% | 356 | 152 | $3K |
| D0330 | Panoramic radiographic image | 13% | 157 | 87 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 7.7% | 267 | 78 | $1K |
| D0274 | Bitewings - four radiographic images | 6.3% | 121 | 51 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.0% | 135 | 14 | $637.08 |
| D0140 | Limited oral evaluation - problem focused | 3.8% | 26 | 17 | $601.04 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 71 | 14 | $126.00 |
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 officialTOUPS, PATTY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Magnolia Orthodontics | Hattiesburg, MS | $1.98M |
| Garner Nichols Dental PLLC | Hattiesburg, MS | $653K |
| Pearl River Dental, PLLC | Pearl, MS | $607K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.