Dental
Exceptional Dental of Metairie, LLC
Exceptional Dental of Metairie, LLC was paid $9K by Medicaid between Jan 2019 and Mar 2022, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 50% of everything it billed.
33Billing provider infoEXCEPTIONAL DENTAL OF METAIRIE, LLC
METAIRIE, LA 70001
METAIRIE, LA 70001
33aNPI1326575945assigned 05/13/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$9K
24GClaims298
24DCodes billed5
24AFirst – last monthJan 2019 – Mar 2022
Compared with peers
Next to other General Practice Dentistry providers in Louisiana
Rank by total paid#299 of 412
Median peer was paid$83K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2019 | 39 | $2K | |
| 2020 | 206 | $6K | |
| 2021 | 29 | $759.51 | |
| 2022 | 24 | $564.12 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 50% | 109 | 102 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 28% | 99 | 98 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 25 | 24 | $1K |
| D0272 | Bitewings - two radiographic images | 7.6% | 53 | 52 | $707.19 |
| D1208 | Topical application of fluoride, excluding varnish | 2.6% | 12 | 12 | $237.24 |
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 officialBOURG, DARRELL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Exceptional Dental of Kenner | Kenner, LA | $28K |
| Exceptional Dental of Marrero | Marrero, LA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.