Dental
Covington Pike Dental Clinic
Covington Pike Dental Clinic was paid $1.48M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D1110, Prophylaxis - adult — 15% of everything it billed.
33Billing provider infoCOVINGTON PIKE DENTAL CLINIC
MEMPHIS, TN 38128
MEMPHIS, TN 38128
33aNPI1326344458assigned 02/08/2011
33bProvider typeDentist
28Total paid$1.48M
24GClaims46,429
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Tennessee
Rank by total paid#17 of 242
Median peer was paid$164K
This provider vs. median9.0×
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 | |
|---|---|---|---|
| 2018 | 6,667 | $218K | |
| 2019 | 7,483 | $226K | |
| 2020 | 6,125 | $185K | |
| 2021 | 5,947 | $191K | |
| 2022 | 6,561 | $222K | |
| 2023 | 8,060 | $254K | |
| 2024incomplete | 5,586 | $183K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 15% | 5,468 | 5,228 | $223K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 7,954 | 7,638 | $186K |
| D0210 | Intraoral - complete series of radiographic images | 12% | 3,092 | 2,947 | $173K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 4,965 | 4,752 | $160K |
| D1206 | Topical application of fluoride varnish | 8.9% | 6,480 | 6,222 | $131K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.7% | 1,601 | 809 | $114K |
| D0274 | Bitewings - four radiographic images | 5.4% | 3,350 | 3,204 | $80K |
| D1208 | Topical application of fluoride, excluding varnish | 4.6% | 3,495 | 3,318 | $69K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.9% | 2,100 | 1,972 | $57K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.3% | 671 | 338 | $49K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.3% | 812 | 443 | $48K |
| D1351 | Sealant - per tooth | 2.6% | 1,385 | 360 | $39K |
9 more codes
| D2140 | 2.5% | 622 | $37K | |
| D9110 | 1.5% | 480 | $23K | |
| D0272 | Bitewings - two radiographic images | 1.5% | 1,396 | $22K |
| D2740 | Crown - porcelain/ceramic | 1.5% | 40 | $22K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.2% | 207 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 1,473 | $17K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 346 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 386 | $3K |
| D1999 | 0% | 106 | $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 officialHEROS, FERNANDO (OWNER)