Dental
Clarksville Pediatric Dentistry, PC
Clarksville Pediatric Dentistry, PC was paid $3.29M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoCLARKSVILLE PEDIATRIC DENTISTRY, PC
CLARKSVILLE, TN 37043
CLARKSVILLE, TN 37043
33aNPI1194045617assigned 06/07/2010
33bProvider typePediatric Dentist
28Total paid$3.29M
24GClaims111,636
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Tennessee
Rank by total paid#27 of 112
Median peer was paid$1.03M
This provider vs. median3.2×
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 | 26,601 | $819K | |
| 2019 | 30,561 | $932K | |
| 2020 | 10,987 | $324K | |
| 2021 | 16,445 | $509K | |
| 2022 | 12,266 | $341K | |
| 2023 | 7,489 | $189K | |
| 2024incomplete | 7,287 | $173K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 19,259 | 18,937 | $613K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 17,965 | 17,637 | $406K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 12% | 3,650 | 1,368 | $393K |
| D7140 | Extraction, erupted tooth or exposed root | 7.8% | 4,343 | 2,325 | $257K |
| D1206 | Topical application of fluoride varnish | 7.0% | 11,668 | 11,485 | $230K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.3% | 2,946 | 1,673 | $206K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.5% | 6,356 | 6,059 | $182K |
| D1351 | Sealant - per tooth | 5.1% | 6,402 | 1,819 | $169K |
| D1208 | Topical application of fluoride, excluding varnish | 5.1% | 8,731 | 8,550 | $166K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 4.0% | 1,689 | 680 | $131K |
| D0330 | Panoramic radiographic image | 3.4% | 2,509 | 2,467 | $111K |
| D0272 | Bitewings - two radiographic images | 3.1% | 6,075 | 5,942 | $102K |
12 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 6,878 | $81K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 8,259 | $75K |
| D2140 | 2.1% | 1,124 | $68K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 2,061 | $58K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 561 | $13K |
| D1110 | Prophylaxis - adult | <1% | 675 | $12K |
| D0140 | Limited oral evaluation - problem focused | <1% | 317 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 32 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 33 | $2K |
| D9110 | <1% | 30 | $1K | |
| D1354 | <1% | 60 | $349.80 | |
| D0274 | Bitewings - four radiographic images | <1% | 13 | $311.08 |
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 officialBEAUCHAMP, KARYL (PRESIDENT)