Dental
Back Bay Family Dentistry
Back Bay Family Dentistry was paid $376.44 by Medicaid between Sep 2021 and Sep 2021, across 1 billing code. Its largest line is D1120, dental cleaning, child — 100% of everything it billed.
33Billing provider infoBACK BAY FAMILY DENTISTRY
DIBERVILLE, MS 39540
DIBERVILLE, MS 39540
33aNPI1316306988assigned 02/11/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$376.44
24GClaims12
24DCodes billed1
24AFirst – last monthSep 2021 – Sep 2021
Compared with peers
Next to other General Practice Dentistry providers in Mississippi
Rank by total paid#358 of 379
Median peer was paid$78K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 12 | $376.44 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 100% | 12 | 12 | $376.44 |
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 officialPARKER, JEREMY (OWNER)