Dental
Upper Cumberland Family Dentistry, PC
Upper Cumberland Family Dentistry, PC was paid $1.90M by Medicaid between Jan 2018 and Oct 2023, across 20 billing codes. Its largest line is D0120, dental checkup, returning patient — 17% of everything it billed.
33Billing provider infoUPPER CUMBERLAND FAMILY DENTISTRY, PC
LIVINGSTON, TN 38570
LIVINGSTON, TN 38570
33aNPI1205008398assigned 03/28/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$1.90M
24GClaims71,195
24DCodes billed20
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other General Practice Dentistry providers in Tennessee
Rank by total paid#23 of 336
Median peer was paid$123K
This provider vs. median15×
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 | 11,618 | $299K | |
| 2019 | 12,667 | $329K | |
| 2020 | 12,200 | $327K | |
| 2021 | 13,806 | $375K | |
| 2022 | 11,846 | $310K | |
| 2023 | 9,058 | $256K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 14,763 | 14,204 | $329K |
| D1110 | Prophylaxis - adult | 17% | 8,215 | 7,850 | $324K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 14,941 | 14,393 | $281K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 8,594 | 8,301 | $268K |
| D0274 | Bitewings - four radiographic images | 6.7% | 5,533 | 5,229 | $126K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.2% | 4,398 | 4,089 | $118K |
| D0330 | Panoramic radiographic image | 4.1% | 1,932 | 1,789 | $77K |
| D1351 | Sealant - per tooth | 3.6% | 2,696 | 689 | $69K |
| D0210 | Intraoral - complete series of radiographic images | 3.6% | 1,246 | 1,171 | $68K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.7% | 782 | 595 | $50K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 1,742 | 1,657 | $43K |
| D0272 | Bitewings - two radiographic images | 2.2% | 2,650 | 2,569 | $42K |
8 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 581 | $32K |
| D1353 | 1.6% | 1,216 | $31K | |
| D7140 | Extraction, erupted tooth or exposed root | 1.3% | 784 | $25K |
| D0140 | Limited oral evaluation - problem focused | <1% | 214 | $5K |
| D1206 | Topical application of fluoride varnish | <1% | 235 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 181 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 39 | $320.68 |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 453 | $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 officialELLIS, STEVE (PRESIDENT)