Dental
Centerville Dental
Centerville Dental was paid $1K by Medicaid between Mar 2018 and Mar 2018, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 44% of everything it billed.
33Billing provider infoCENTERVILLE DENTAL
CENTERVILLE, TN 37033
CENTERVILLE, TN 37033
33aNPI1174881965assigned 04/30/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$1K
24GClaims42
24DCodes billed3
24AFirst – last monthMar 2018 – Mar 2018
Compared with peers
Next to other General Practice Dentistry providers in Tennessee
Rank by total paid#323 of 336
Median peer was paid$123K
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 | |
|---|---|---|---|
| 2018 | 42 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 44% | 12 | 12 | $521.72 |
| D1208 | Topical application of fluoride, excluding varnish | 29% | 17 | 17 | $345.50 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 13 | 13 | $314.08 |
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 officialLEE, JAMIE (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Rosa Clark Medical Center | Seneca, SC | $454K |
| Barfield Crescent Dental, INC | Murfreesboro, TN | $248K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.