Clinic
Mississippi Dental Center of Pelahatchie
Mississippi Dental Center of Pelahatchie was paid $313.74 by Medicaid between Jul 2024 and Jul 2024, across 1 billing code. Its largest line is D1120, dental cleaning, child — 100% of everything it billed.
33Billing provider infoMISSISSIPPI DENTAL CENTER OF PELAHATCHIE
PELAHATCHIE, MS 39145
PELAHATCHIE, MS 39145
33aNPI1376262360assigned 08/24/2022
33bProvider typeDental Clinic/Center
28Total paid$313.74
24GClaims17
24DCodes billed1
24AFirst – last monthJul 2024 – Jul 2024
Compared with peers
Next to other Dental Clinic/Center providers in Mississippi
Rank by total paid#47 of 53
Median peer was paid$44K
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 | |
|---|---|---|---|
| 2024incomplete | 17 | $313.74 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 100% | 17 | 12 | $313.74 |
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 officialPLEASANT, CHANDLER (OWENER/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| S&P Ventures LLC | Pelahatchie, MS | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.