Dental
Cavity Commando's Dentistry for Kids PLLC
Cavity Commando's Dentistry for Kids PLLC was paid $7.62M by Medicaid between Jun 2020 and Dec 2024, across 31 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 20% of everything it billed.
33Billing provider infoCAVITY COMMANDO'S DENTISTRY FOR KIDS PLLC
COOKEVILLE, TN 38501
COOKEVILLE, TN 38501
33aNPI1215592340assigned 05/03/2019
33bProvider typePediatric Dentist
28Total paid$7.62M
24GClaims223,552
24DCodes billed31
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Tennessee
Rank by total paid#12 of 112
Median peer was paid$1.03M
This provider vs. median7.4×
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 | |
|---|---|---|---|
| 2020 | 20,280 | $768K | |
| 2021 | 45,226 | $1.46M | |
| 2022 | 52,902 | $1.78M | |
| 2023 | 52,546 | $1.85M | |
| 2024incomplete | 52,598 | $1.76M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 20% | 13,849 | 3,780 | $1.52M |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 34,615 | 34,432 | $1.15M |
| D1206 | Topical application of fluoride varnish | 10.0% | 36,816 | 36,639 | $759K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.5% | 26,667 | 26,542 | $645K |
| D7140 | Extraction, erupted tooth or exposed root | 6.1% | 7,510 | 2,908 | $468K |
| D1351 | Sealant - per tooth | 4.4% | 10,913 | 3,212 | $335K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.9% | 10,269 | 10,211 | $296K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.3% | 3,151 | 1,747 | $255K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.2% | 4,028 | 2,278 | $244K |
| D0272 | Bitewings - two radiographic images | 2.8% | 14,047 | 13,959 | $210K |
| D0330 | Panoramic radiographic image | 2.3% | 4,141 | 4,122 | $175K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.2% | 5,876 | 5,613 | $170K |
19 more codes
| D2929 | 2.2% | 1,472 | $167K | |
| D2390 | 2.1% | 1,034 | $162K | |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 11,888 | $144K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.9% | 2,010 | $142K |
| D1510 | 1.8% | 907 | $138K | |
| D0210 | Intraoral - complete series of radiographic images | 1.4% | 1,965 | $109K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 11,235 | $104K |
| D1110 | Prophylaxis - adult | 1.3% | 2,370 | $100K |
| D2330 | 1.3% | 1,638 | $98K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 3,357 | $76K |
| D1354 | <1% | 9,157 | $74K | |
| D0274 | Bitewings - four radiographic images | <1% | 1,904 | $44K |
| D2331 | <1% | 279 | $19K | |
| D2931 | <1% | 19 | $2K | |
| D3230 | <1% | 22 | $2K | |
| D1353 | <1% | 48 | $1K | |
| D9420 | <1% | 2,284 | $955.00 | |
| D0270 | <1% | 26 | $189.12 | |
| D0251 | 0% | 55 | $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 officialSEARS, LANDON (OWNER)