Dental
Musgrave, Clyde
Musgrave, Clyde was paid $750K by Medicaid between Jan 2018 and May 2023, across 19 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 26% of everything it billed.
33Billing provider infoMUSGRAVE, CLYDE
SOUTHAVEN, MS 38672
SOUTHAVEN, MS 38672
33aNPI1194825299assigned 09/25/2006
33bProvider typePediatric Dentist
28Total paid$750K
24GClaims24,433
24DCodes billed19
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Pediatric Dentist providers in Mississippi
Rank by total paid#38 of 81
Median peer was paid$580K
This provider vs. median1.3×
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 | 10,409 | $387K | |
| 2019 | 6,406 | $171K | |
| 2020 | 5,160 | $127K | |
| 2021 | 1,035 | $27K | |
| 2022 | 751 | $21K | |
| 2023 | 672 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 26% | 1,625 | 287 | $198K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 6,007 | 4,636 | $114K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 12% | 1,038 | 303 | $92K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 2,132 | 1,952 | $76K |
| D1206 | Topical application of fluoride varnish | 8.3% | 2,918 | 2,720 | $63K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.2% | 2,764 | 2,013 | $47K |
| D0272 | Bitewings - two radiographic images | 4.9% | 2,605 | 2,142 | $37K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.3% | 332 | 186 | $25K |
| D1208 | Topical application of fluoride, excluding varnish | 2.9% | 2,643 | 1,723 | $22K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.0% | 572 | 444 | $15K |
| D2934 | 1.8% | 84 | 26 | $13K | |
| D0330 | Panoramic radiographic image | 1.4% | 307 | 265 | $10K |
7 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.3% | 107 | $10K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 664 | $7K |
| D9310 | <1% | 142 | $7K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 73 | $6K |
| D0140 | Limited oral evaluation - problem focused | <1% | 106 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 288 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 26 | $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.