Dental
Meridian Pediatric Dental Group, LLC
Meridian Pediatric Dental Group, LLC was paid $8K by Medicaid between May 2018 and Dec 2021, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 41% of everything it billed.
33Billing provider infoMERIDIAN PEDIATRIC DENTAL GROUP, LLC
MERIDIAN, MS 39301
MERIDIAN, MS 39301
33aNPI1356606511assigned 07/12/2012
33bProvider typePediatric Dentist
28Total paid$8K
24GClaims434
24DCodes billed5
24AFirst – last monthMay 2018 – Dec 2021
Compared with peers
Next to other Pediatric Dentist providers in Mississippi
Rank by total paid#74 of 81
Median peer was paid$580K
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 | |
|---|---|---|---|
| 2018 | 55 | $0.00 | |
| 2020 | 12 | $283.03 | |
| 2021 | 367 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 41% | 185 | 153 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 38% | 122 | 118 | $3K |
| D1206 | Topical application of fluoride varnish | 10% | 75 | 75 | $827.26 |
| D1208 | Topical application of fluoride, excluding varnish | 6.3% | 28 | 28 | $516.70 |
| D0272 | Bitewings - two radiographic images | 4.4% | 24 | 24 | $362.96 |
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 officialELLIS, SHELLEY (PEDIATRIC DENTIST)