Dental
Hall, Victoria
Hall, Victoria was paid $170K by Medicaid between Oct 2018 and Jun 2019, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoHALL, VICTORIA
CHATTANOOGA, TN 37421
CHATTANOOGA, TN 37421
33aNPI1205329836assigned 06/08/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$170K
24GClaims6,106
24DCodes billed16
24AFirst – last monthOct 2018 – Jun 2019
Compared with peers
Next to other General Practice Dentistry providers in Tennessee
Rank by total paid#155 of 336
Median peer was paid$123K
This provider vs. median1.4×
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 | 2,574 | $73K | |
| 2019 | 3,532 | $98K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 914 | 890 | $30K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 1,153 | 1,119 | $27K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 1,083 | 1,054 | $21K |
| D0274 | Bitewings - four radiographic images | 11% | 729 | 702 | $19K |
| D1110 | Prophylaxis - adult | 11% | 455 | 431 | $18K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.9% | 195 | 136 | $13K |
| D0330 | Panoramic radiographic image | 6.5% | 306 | 299 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.5% | 155 | 122 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 199 | 190 | $5K |
| D0272 | Bitewings - two radiographic images | 2.9% | 276 | 268 | $5K |
| D1206 | Topical application of fluoride varnish | 2.1% | 184 | 178 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 243 | 225 | $3K |
4 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.