Dental
Sequatchie Valley Dental Associates, PC
Sequatchie Valley Dental Associates, PC was paid $1.30M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D0120, dental checkup, returning patient — 15% of everything it billed.
33Billing provider infoSEQUATCHIE VALLEY DENTAL ASSOCIATES, PC
JASPER, TN 37347
JASPER, TN 37347
33aNPI1205062379assigned 06/03/2009
33bProvider typeDentist
28Total paid$1.30M
24GClaims43,597
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Tennessee
Rank by total paid#20 of 242
Median peer was paid$164K
This provider vs. median7.9×
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 | 7,272 | $229K | |
| 2019 | 7,915 | $227K | |
| 2020 | 5,776 | $178K | |
| 2021 | 5,783 | $176K | |
| 2022 | 6,146 | $181K | |
| 2023 | 5,153 | $150K | |
| 2024incomplete | 5,552 | $160K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 8,688 | 8,123 | $199K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 6,311 | 5,879 | $197K |
| D1206 | Topical application of fluoride varnish | 15% | 9,980 | 9,333 | $194K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 2,550 | 1,771 | $176K |
| D1110 | Prophylaxis - adult | 12% | 3,862 | 3,618 | $156K |
| D0330 | Panoramic radiographic image | 9.1% | 2,751 | 2,567 | $119K |
| D0274 | Bitewings - four radiographic images | 4.7% | 2,491 | 2,331 | $62K |
| D0272 | Bitewings - two radiographic images | 3.2% | 2,565 | 2,405 | $42K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 654 | 490 | $38K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 1,222 | 1,138 | $32K |
| D7140 | Extraction, erupted tooth or exposed root | 2.0% | 448 | 226 | $27K |
| D9110 | 1.8% | 535 | 485 | $24K |
5 more codes
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 officialHASNANI, KARIM (DENTIST)