Dental
State of Mississippi - University of Mississippi Medical Center
State of Mississippi - University of Mississippi Medical Center was paid $1.04M by Medicaid between Feb 2018 and Dec 2024, across 31 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 18% of everything it billed.
33Billing provider infoSTATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
JACKSON, MS 39216
JACKSON, MS 39216
33aNPI1184765372assigned 02/09/2007
33bProvider typeDentist
28Total paid$1.04M
24GClaims38,780
24DCodes billed31
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Mississippi
Rank by total paid#22 of 261
Median peer was paid$64K
This provider vs. median16×
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 | 2,195 | $38K | |
| 2019 | 3,208 | $49K | |
| 2020 | 1,870 | $48K | |
| 2021 | 3,992 | $134K | |
| 2022 | 8,577 | $239K | |
| 2023 | 11,553 | $320K | |
| 2024incomplete | 7,385 | $212K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 18% | 4,658 | 992 | $192K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 6,544 | 5,605 | $139K |
| D0140 | Limited oral evaluation - problem focused | 12% | 4,321 | 3,655 | $128K |
| D1206 | Topical application of fluoride varnish | 10% | 6,747 | 5,711 | $109K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.1% | 4,501 | 3,801 | $84K |
| D8670 | Periodic orthodontic treatment visit | 6.8% | 937 | 679 | $71K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.1% | 1,607 | 282 | $53K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.9% | 2,370 | 2,021 | $51K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.7% | 1,147 | 514 | $49K |
| D0330 | Panoramic radiographic image | 3.0% | 1,264 | 1,026 | $31K |
| D0210 | Intraoral - complete series of radiographic images | 3.0% | 697 | 594 | $31K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.9% | 291 | 62 | $30K |
19 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.4% | 491 | $25K |
| D0272 | Bitewings - two radiographic images | 1.2% | 932 | $12K |
| D9222 | <1% | 173 | $7K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 368 | $6K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 158 | $6K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 448 | $4K |
| D7230 | <1% | 34 | $3K | |
| 70486 | <1% | 60 | $3K | |
| D2331 | <1% | 47 | $1K | |
| D0274 | Bitewings - four radiographic images | <1% | 101 | $1K |
| D1110 | Prophylaxis - adult | <1% | 537 | $931.70 |
| D0470 | <1% | 53 | $797.39 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 55 | $721.58 |
| D0350 | <1% | 68 | $681.55 | |
| D2330 | <1% | 29 | $459.18 | |
| D0340 | <1% | 35 | $407.22 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 15 | $336.00 |
| D9248 | <1% | 21 | $68.00 | |
| D0190 | 0% | 71 | $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 officialCLARDY, STACY (PRACTICE MANAGER)