Dental
Rivergate Village Dental
Rivergate Village Dental was paid $60K by Medicaid between Dec 2022 and Aug 2023, across 9 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 23% of everything it billed.
33Billing provider infoRIVERGATE VILLAGE DENTAL
MADISON, TN 37115
MADISON, TN 37115
33aNPI1336459791assigned 10/19/2010
33bProvider typeDentist
28Total paid$60K
24GClaims1,442
24DCodes billed9
24AFirst – last monthDec 2022 – Aug 2023
Compared with peers
Next to other Dentist providers in Tennessee
Rank by total paid#171 of 242
Median peer was paid$164K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2022 | 89 | $3K | |
| 2023 | 1,353 | $57K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 23% | 229 | 226 | $14K |
| D1110 | Prophylaxis - adult | 18% | 251 | 248 | $11K |
| D2740 | Crown - porcelain/ceramic | 16% | 17 | 13 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 311 | 308 | $9K |
| D1206 | Topical application of fluoride varnish | 8.5% | 232 | 231 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.1% | 199 | 197 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.6% | 113 | 113 | $4K |
| D4342 | 3.5% | 62 | 16 | $2K | |
| D0274 | Bitewings - four radiographic images | 1.3% | 28 | 28 | $799.68 |
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 officialFOSTER, SHAWN (PRACTICE ADMIN/REGIONAL DIRECTOR OP)