Dental
Bristol Pediatric Dentistry PLLC
Bristol Pediatric Dentistry PLLC was paid $23.37M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 23% of everything it billed.
33Billing provider infoBRISTOL PEDIATRIC DENTISTRY PLLC
BRISTOL, TN 37620
BRISTOL, TN 37620
33aNPI1184847329assigned 04/10/2007
33bProvider typePediatric Dentist
28Total paid$23.37M
24GClaims574,949
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Tennessee
Rank by total paid#2 of 112
Median peer was paid$1.03M
This provider vs. median23×
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 | 120,884 | $5.27M | |
| 2019 | 96,345 | $3.91M | |
| 2020 | 57,545 | $2.24M | |
| 2021 | 79,043 | $3.52M | |
| 2022 | 79,821 | $3.90M | |
| 2023 | 80,412 | $3.17M | |
| 2024incomplete | 60,899 | $1.36M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 23% | 49,551 | 16,333 | $5.43M |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 83,104 | 81,992 | $2.59M |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 8.5% | 26,785 | 11,578 | $1.99M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.9% | 74,823 | 73,856 | $1.61M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.7% | 21,698 | 14,323 | $1.56M |
| D7140 | Extraction, erupted tooth or exposed root | 6.2% | 25,642 | 12,492 | $1.45M |
| D1208 | Topical application of fluoride, excluding varnish | 5.9% | 73,132 | 72,169 | $1.39M |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.2% | 34,738 | 33,755 | $987K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 14,965 | 9,970 | $899K |
| D0272 | Bitewings - two radiographic images | 3.4% | 47,015 | 46,357 | $787K |
| D2390 | 3.1% | 4,657 | 1,574 | $718K | |
| D1351 | Sealant - per tooth | 2.2% | 20,268 | 6,074 | $503K |
20 more codes
| D2330 | 2.1% | 8,223 | $486K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 16,324 | $451K |
| D0330 | Panoramic radiographic image | 1.7% | 9,519 | $389K |
| D1110 | Prophylaxis - adult | 1.4% | 8,153 | $324K |
| D1206 | Topical application of fluoride varnish | 1.3% | 16,495 | $315K |
| D9999 | Unspecified adjunctive procedure, by report | 1.3% | 2,395 | $297K |
| D2929 | 1.1% | 2,076 | $261K | |
| D2331 | <1% | 2,540 | $182K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 15,590 | $177K |
| D0140 | Limited oral evaluation - problem focused | <1% | 6,863 | $144K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 3,067 | $129K |
| D9310 | <1% | 1,335 | $99K | |
| D2335 | <1% | 500 | $48K | |
| D2332 | <1% | 558 | $47K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 3,884 | $35K |
| D9248 | <1% | 388 | $35K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 343 | $29K |
| D1354 | <1% | 275 | $2K | |
| D9920 | <1% | 30 | $2K | |
| D1510 | <1% | 13 | $2K |
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 officialPILLION, TODD (OWNER)