Cherryville Dental Clinic

Cherryville Dental Clinic was paid $320K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is D1110, Prophylaxis - adult — 18% of everything it billed.

33Billing provider infoCHERRYVILLE DENTAL CLINIC
CHERRYVILLE, NC 28021

33aNPI1386828614assigned 12/21/2007

33bProvider typeDentist

28Total paid$320K

24GClaims9,974

24DCodes billed18

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Dentist providers in North Carolina

Rank by total paid#162 of 402

Median peer was paid$154K

This provider vs. median2.1×

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	1,642	$51K
2019	2,281	$93K
2020	1,170	$31K
2021	1,056	$32K
2022	1,700	$59K
2023	1,163	$35K
2024incomplete	962	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	18%	1,582	1,490	$57K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	1,720	1,629	$43K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	11%	345	237	$36K
D0274	Bitewings - four radiographic images	10%	1,098	1,020	$32K
D0140	Limited oral evaluation - problem focused	9.6%	901	830	$31K
D0330	Panoramic radiographic image	7.2%	428	408	$23K
D0220	Intraoral - periapical first radiographic image	5.0%	1,149	1,025	$16K
D1208	Topical application of fluoride, excluding varnish	4.5%	899	869	$14K
D2391	Resin-based composite - one surface, posterior, primary or permanent	3.9%	172	118	$13K
D0150	Comprehensive oral evaluation - new or established patient	3.9%	309	290	$12K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	3.5%	116	53	$11K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	2.7%	76	53	$9K

6 more codes

D0230	Intraoral - periapical each additional radiographic image	2.4%	683	$8K
D1120	Dental cleaning, child	2.3%	288	$7K
D7140	Extraction, erupted tooth or exposed root	<1%	42	$3K
D0272	Bitewings - two radiographic images	<1%	120	$2K
D2332		<1%	21	$2K
D4355		<1%	25	$2K

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 officialCLONINGER, PAUL (OWNER)