Dental
Starkville Pediatric Dentistry
Starkville Pediatric Dentistry was paid $3.24M by Medicaid between Feb 2018 and Dec 2024, across 18 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 32% of everything it billed.
33Billing provider infoSTARKVILLE PEDIATRIC DENTISTRY
STARKVILLE, MS 39759
STARKVILLE, MS 39759
33aNPI1407008337assigned 10/22/2008
33bProvider typePediatric Dentist
28Total paid$3.24M
24GClaims85,641
24DCodes billed18
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Mississippi
Rank by total paid#9 of 81
Median peer was paid$580K
This provider vs. median5.6×
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 | 6,178 | $65K | |
| 2019 | 5,763 | $179K | |
| 2020 | 5,395 | $157K | |
| 2021 | 16,058 | $596K | |
| 2022 | 19,265 | $804K | |
| 2023 | 16,694 | $721K | |
| 2024incomplete | 16,288 | $716K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 32% | 8,480 | 1,731 | $1.03M |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 16,122 | 14,521 | $436K |
| D1206 | Topical application of fluoride varnish | 9.7% | 14,540 | 13,071 | $316K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.3% | 11,330 | 10,737 | $300K |
| D7140 | Extraction, erupted tooth or exposed root | 6.2% | 2,647 | 1,465 | $201K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.1% | 2,307 | 1,465 | $196K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.8% | 1,309 | 923 | $157K |
| D0140 | Limited oral evaluation - problem focused | 4.1% | 3,557 | 3,158 | $134K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.6% | 12,524 | 2,990 | $117K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.2% | 1,181 | 524 | $103K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.0% | 3,959 | 3,040 | $97K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 4,535 | 4,065 | $55K |
6 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 officialLOCKHART, TAMMI (OWNER)