Clinic
Reservoir Smiles Dentistry, PLLC
Reservoir Smiles Dentistry, PLLC was paid $0.00 by Medicaid between Dec 2021 and Jul 2022, across 2 billing codes. Its largest line is D1120, dental cleaning, child — 0% of everything it billed.
33Billing provider infoRESERVOIR SMILES DENTISTRY, PLLC
BRANDON, MS 39047
BRANDON, MS 39047
33aNPI1316458136assigned 10/19/2017
33bProvider typeDental Clinic/Center
28Total paid$0.00
24GClaims64
24DCodes billed2
24AFirst – last monthDec 2021 – Jul 2022
Compared with peers
Next to other Dental Clinic/Center providers in Mississippi
Rank by total paid#49 of 53
Median peer was paid$44K
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 | 39 | $0.00 | |
| 2022 | 25 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 31 | 26 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 33 | 27 | $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 officialSHAMBURGER, AMYE (OWNER)
Parent organizationHALL FAMILY DENTISTRY