Tillery Dental Clinics, P.A.

Tillery Dental Clinics, P.A. was paid $8K by Medicaid between Jul 2018 and Nov 2021, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 32% of everything it billed.

33Billing provider infoTILLERY DENTAL CLINICS, P.A.
LAUREL, MS 39440

33aNPI1376656041assigned 08/16/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$8K

24GClaims778

24DCodes billed5

24AFirst – last monthJul 2018 – Nov 2021

Compared with peers

Next to other General Practice Dentistry providers in Mississippi

Rank by total paid#290 of 379

Median peer was paid$78K

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
2018	495	$3K
2020	87	$2K
2021	196	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	32%	255	132	$3K
D1206	Topical application of fluoride varnish	23%	244	118	$2K
D0330	Panoramic radiographic image	21%	60	46	$2K
D0150	Comprehensive oral evaluation - new or established patient	19%	178	60	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	5.2%	41	38	$443.91

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 officialTILLERY, DOUGLAS (OWNER)