Clinic
Mountain Dental P.C.
Mountain Dental P.C. was paid $1.87M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 23% of everything it billed.
33Billing provider infoMOUNTAIN DENTAL P.C.
KNOXVILLE, TN 37924
KNOXVILLE, TN 37924
33aNPI1225202898assigned 04/15/2008
33bProvider typeDental Clinic/Center
28Total paid$1.87M
24GClaims54,093
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Tennessee
Rank by total paid#7 of 40
Median peer was paid$259K
This provider vs. median7.2×
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 | 6,099 | $164K | |
| 2019 | 11,515 | $349K | |
| 2020 | 6,417 | $243K | |
| 2021 | 7,085 | $267K | |
| 2022 | 7,206 | $266K | |
| 2023 | 8,240 | $298K | |
| 2024incomplete | 7,531 | $285K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 23% | 6,026 | 3,380 | $429K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 15% | 4,866 | 3,062 | $288K |
| D1110 | Prophylaxis - adult | 13% | 5,952 | 5,792 | $252K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.9% | 6,980 | 6,793 | $166K |
| D1206 | Topical application of fluoride varnish | 8.6% | 7,816 | 7,591 | $162K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 7.0% | 1,587 | 1,112 | $132K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.5% | 3,123 | 3,042 | $103K |
| D0274 | Bitewings - four radiographic images | 5.2% | 3,751 | 3,647 | $97K |
| D0330 | Panoramic radiographic image | 4.5% | 2,245 | 2,184 | $84K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 1,852 | 1,803 | $52K |
| D0272 | Bitewings - two radiographic images | 1.7% | 1,833 | 1,789 | $31K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 2,406 | 2,311 | $27K |
11 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 2,629 | $24K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 465 | $10K |
| D1354 | <1% | 757 | $7K | |
| D1351 | Sealant - per tooth | <1% | 112 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 143 | $3K |
| D2950 | <1% | 15 | $1K | |
| D2331 | <1% | 19 | $1K | |
| D1330 | 0% | 906 | $0.00 | |
| D9215 | 0% | 44 | $0.00 | |
| D0431 | 0% | 488 | $0.00 | |
| D1999 | 0% | 78 | $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 officialFISHER, CHARLES (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Valley Radiologists & Associates | Harlingen, TX | $2.10M |
| Harrison County | Cadiz, OH | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.