Dental
Gulf Coast Pediatric Dentistry PLLC
Gulf Coast Pediatric Dentistry PLLC was paid $1.45M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
33Billing provider infoGULF COAST PEDIATRIC DENTISTRY PLLC
GULFPORT, MS 39503
GULFPORT, MS 39503
33aNPI1194004994assigned 08/10/2011
33bProvider typePediatric Dentist
28Total paid$1.45M
24GClaims72,542
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Mississippi
Rank by total paid#23 of 81
Median peer was paid$580K
This provider vs. median2.5×
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 | 8,629 | $9K | |
| 2019 | 12,392 | $8K | |
| 2020 | 4,107 | $0.00 | |
| 2021 | 2,854 | $20K | |
| 2022 | 7,977 | $145K | |
| 2023 | 19,105 | $657K | |
| 2024incomplete | 17,478 | $608K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 15,745 | 11,174 | $297K |
| D1206 | Topical application of fluoride varnish | 17% | 11,064 | 9,775 | $245K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 11,507 | 8,803 | $225K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.5% | 860 | 310 | $123K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.0% | 5,688 | 3,381 | $102K |
| D0272 | Bitewings - two radiographic images | 7.0% | 8,191 | 5,613 | $101K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.5% | 834 | 529 | $80K |
| D0140 | Limited oral evaluation - problem focused | 4.3% | 2,339 | 1,648 | $62K |
| D1351 | Sealant - per tooth | 3.8% | 3,758 | 420 | $56K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 2,752 | 1,978 | $43K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.1% | 328 | 141 | $31K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 1,917 | 1,529 | $20K |
6 more codes
| D7140 | Extraction, erupted tooth or exposed root | 1.2% | 228 | $18K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 581 | $18K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 6,298 | $9K |
| D0330 | Panoramic radiographic image | <1% | 131 | $8K |
| D1110 | Prophylaxis - adult | <1% | 197 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 124 | $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 officialHYDE, ERIC (OWNER)