Dental
Mission Health Community Multispecialty Providers, LLC
Mission Health Community Multispecialty Providers, LLC was paid $290K by Medicaid between Feb 2019 and Oct 2021, across 17 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 54% of everything it billed.
33Billing provider infoMISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC
ASHEVILLE, NC 28803
ASHEVILLE, NC 28803
33aNPI1376013243assigned 12/04/2018
33bProvider typeDentist
28Total paid$290K
24GClaims4,548
24DCodes billed17
24AFirst – last monthFeb 2019 – Oct 2021
Compared with peers
Next to other Dentist providers in North Carolina
Rank by total paid#165 of 402
Median peer was paid$154K
This provider vs. median1.9×
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 | 4,393 | $289K | |
| 2021 | 155 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 54% | 1,055 | 181 | $157K |
| D9420 | 11% | 260 | 259 | $32K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 9.3% | 323 | 115 | $27K |
| D7140 | Extraction, erupted tooth or exposed root | 8.9% | 390 | 123 | $26K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 225 | 225 | $10K |
| D0240 | 3.3% | 584 | 297 | $10K | |
| D1120 | Dental cleaning, childProphylaxis - child | 2.8% | 296 | 295 | $8K |
| D1351 | Sealant - per tooth | 2.0% | 375 | 138 | $6K |
| D1206 | Topical application of fluoride varnish | 1.7% | 307 | 306 | $5K |
| D0272 | Bitewings - two radiographic images | 1.1% | 281 | 280 | $3K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 26 | 13 | $3K |
| 99199 | Unlisted special service, procedure or report | <1% | 155 | 155 | $1K |
5 more codes
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 officialJOHNSON, TEDRICK (GROUP VICE PRESIDENT)
Parent organizationMISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC
| Provider | Location | Paid |
|---|---|---|
| Mission Health Community Multispecialty Providers, LLC | Arden, NC | $23.99M |
| Commonwealth Specialists of Kentucky LLC | Frankfort, KY | $922K |
| Heathrow Internal Medicine LLC | Lake Mary, FL | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.